Mary E Bowman, LMFT, APC
Individual provider Active NPI Marriage & Family Therapist · Oakwood, GA
NPI 1194359570 · NPPES record last updated Feb 25, 2020
Key facts
- NPI
- 1194359570
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 001739 (GA)
- Practice address
- 3939 Old Flowery Branch Rd
Oakwood, GA 30566-2545 - Phone
- (770) 654-4332
- NPI assigned
- Feb 25, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001739 | GA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001739 | GA | Yes |
Addresses
Primary practice location
3939 Old Flowery Branch Rd
Oakwood, GA 30566-2545
Mailing address
3939 Old Flowery Branch Rd
Oakwood, GA 30566-2545
Phone (770) 654-4332
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 84-4861287 | Other | GA | IRS |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Oakwood | Direct |
Other providers in Oakwood, GA
- Joseph Stephen Bennett Jr.
- Lauren Elizabeth Bess
- Better Health Chiropractic, P.C.
- Brett S Bordner
- Jonathan Paul Born
- Garry R Bratcher
- Brock Garrett O.D.P.C.
- Thomas Anthony Brosky II
- Pierpont Flanders Brown IV
- Tyiesha Brown
All providers in Oakwood, GA · Marriage & Family Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.