Provider Demographics
NPI:1881912269
Name:BOWES, CAROL T (LPCC-S, LICDC-CS)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:T
Last Name:BOWES
Suffix:
Gender:F
Credentials:LPCC-S, LICDC-CS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 S HAWKINS AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44320-3902
Mailing Address - Country:US
Mailing Address - Phone:330-867-5400
Mailing Address - Fax:330-330-8698
Practice Address - Street 1:1735 S HAWKINS AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-3902
Practice Address - Country:US
Practice Address - Phone:330-867-5400
Practice Address - Fax:330-330-8698
Is Sole Proprietor?:No
Enumeration Date:2010-05-11
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.0001797-SUPV101YP2500X, 101YM0800X
OHCS.00000972101YA0400X
OHCS-R.943921101YA0400X
OHLICDC.943921101YA0400X
OHLE-00008410101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health