Amy Bowen, CMHC
Individual provider Active NPI Mental Health Counselor · Hyde Park, UT
NPI 1639763584 · NPPES record last updated Jun 19, 2023
Key facts
- NPI
- 1639763584
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 12078621-6004 (UT)
- Practice address
- 338 W 300 N Ste 1
Hyde Park, UT 84318-4044 - Phone
- (435) 557-0655
- NPI assigned
- Feb 22, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 12078621-6004 | UT | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amy Bowen CMHC, LLC | Mental Health | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 12078621-6004 | UT | Yes |
Addresses
Primary practice location
338 W 300 N Ste 1
Hyde Park, UT 84318-4044
Mailing address
297 S Center St
Hyrum, UT 84319-1602
Phone (801) 664-5259
Other providers in Hyde Park, UT
- Robin Belliston
- Kira N Bettinger
- Holly Bills
- Michael Dalan Bishop
- Erin Black
- Hailey Maqael Bowler
- Jordan Dee Brown
- Diane Buirley
- Cache Health
- Cameron G Peterson PC
All providers in Hyde Park, UT · Mental Health Counselor in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 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.