Michelle J Bowes, PH.D. IMFT-SUP, LPCC
Individual provider Active NPI Mental Health Counselor · Wadsworth, OH
NPI 1295923332 · NPPES record last updated Nov 10, 2023
Key facts
- NPI
- 1295923332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- F1100004.SUPV (OH)
- Practice address
- 140 Wadsworth Road
Wadsworth, OH 44281 - Phone
- (234) 206-1221
- Fax
- (330) 334-2235
- NPI assigned
- Oct 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| F1100004.SUPV | OH | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- michellebowes@tdh.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | F1100004.SUPV | OH | Yes |
Addresses
Primary practice location
140 Wadsworth Road
Wadsworth, OH 44281
Mailing address
140 Wadsworth Rd
Wadsworth, OH 44281-9503
Phone (234) 206-1221
Other providers in Wadsworth, OH
- Kathy Bordenkircher
- Bryce Boron
- Bouscher Family Eye Care, Inc.
- Karen L Bouscher
- Thomas Alexander Bouscher
- Tamara L Bowling
- Michael J. Boyer
- Andrea Brazis
- Christopher M Brendel
- Leann Brickey
All providers in Wadsworth, OH · Mental Health Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2023. 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.