Provider Demographics
NPI:1154684629
Name:YOWELL, BEVIN N (LPC)
Entity type:Individual
Prefix:
First Name:BEVIN
Middle Name:N
Last Name:YOWELL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 GILNOCHIE LN
Mailing Address - Street 2:
Mailing Address - City:STAUNTON
Mailing Address - State:VA
Mailing Address - Zip Code:24401-5528
Mailing Address - Country:US
Mailing Address - Phone:540-255-5971
Mailing Address - Fax:
Practice Address - Street 1:11 MIDDLEBROOK AVE
Practice Address - Street 2:
Practice Address - City:STAUNTON
Practice Address - State:VA
Practice Address - Zip Code:24401-4233
Practice Address - Country:US
Practice Address - Phone:540-255-5971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-20
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701005254101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional