Mackenzie Shay Bowman
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Roanoke, VA
NPI 1356217558 · NPPES record last updated Oct 14, 2025
Key facts
- NPI
- 1356217558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 3208 Hershberger Rd NW
Roanoke, VA 24017-1842 - Phone
- (540) 912-4211
- NPI assigned
- Oct 14, 2025
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
3208 Hershberger Rd NW
Roanoke, VA 24017-1842
Mailing address
3208 Hershberger Rd NW
Roanoke, VA 24017-1842
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- Benjamin Eric Bowman
- Celena Arlet Bowman
- Conner Stuart Bowman
- Michael Bowyer
- Boxley Hill Clinic Inc
- Susan S Boyes
- Jamie Brackenrich
- Wayne Lee Brackenrich
All providers in Roanoke, VA · Addiction (Substance Use Disorder) Counselor in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2025. 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.