Bowers, Kimberly Autumn
Bowers, Kimberly Autumn is an individual health care provider with primary practice located at 940 W Lebanon St , Mount Airy NC 27030-2222. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Bowers, Kimberly Autumn can be contacted via phone (336) 783-6919.Contact Information
Primary practice address
940 W Lebanon St
Mount Airy NC 27030-2222
Phone: (336) 783-6919
Fax: (336) 983-6923
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 20443 | North Carolina |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C011151 | North Carolina |
Profile Details
NPI number | 1619340106 |
---|---|
LBN Legal business name | Bowers, Kimberly Autumn |
Credentials | LCSW, LCAS, CSI |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 5th, 2015 |
Last updated | Jun 28th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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