Doctor Name: | LAURA BROOKE BOWERS |
NPI Number: | 1114137445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, NCC |
License Number: | |
Business Practice Address: | 1000 Corporate Dr Ste 401 Hillsborough, NC - 272788548 |
Business Phone Number: | 9196435500 |
Business Fax Number: | |
Mailing Address: | 1407 Granada Dr, RALEIGH |
State: | NC |
Postal Code: | 276125109 |
Phone Number: | 9197827424 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |