Doctor Name: | MS. MARK ELLEN BOWLES |
NPI Number: | 1497783476 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 13539 |
Business Practice Address: | 150 Settlement Dr Ste E Bastrop, TX - 78602 |
Business Phone Number: | 5123033963 |
Business Fax Number: | 5123036366 |
Mailing Address: | 1009 N Georgetown St, ROUND ROCK |
State: | TX |
Postal Code: | 786643289 |
Phone Number: | 5122448374 |
Fax Number: | 5122448371 |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 13539 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |