Provider Demographics
NPI:1215046818
Name:BOW ADULT COUNSELING SERVICES, P.L.L.C.
Entity type:Organization
Organization Name:BOW ADULT COUNSELING SERVICES, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:A
Authorized Official - Last Name:LEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:603-230-9444
Mailing Address - Street 1:722 ROUTE 3A
Mailing Address - Street 2:SUITE 16
Mailing Address - City:BOW
Mailing Address - State:NH
Mailing Address - Zip Code:03304-4010
Mailing Address - Country:US
Mailing Address - Phone:603-230-9444
Mailing Address - Fax:603-228-9990
Practice Address - Street 1:722 ROUTE 3A
Practice Address - Street 2:SUITE 16
Practice Address - City:BOW
Practice Address - State:NH
Practice Address - Zip Code:03304-4010
Practice Address - Country:US
Practice Address - Phone:603-230-9444
Practice Address - Fax:603-228-9990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE7489Medicare ID - Type UnspecifiedGROUP