Provider Demographics
NPI:1871211482
Name:OWENS, STEVEN SEAN
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:SEAN
Last Name:OWENS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5501 GLENRIDGE DR APT 729
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-5057
Mailing Address - Country:US
Mailing Address - Phone:912-351-7979
Mailing Address - Fax:
Practice Address - Street 1:2 JOHNNY MERCER BLVD APT 1602
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-3327
Practice Address - Country:US
Practice Address - Phone:912-351-7979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-19
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA013129101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health