Provider Demographics
NPI:1336765189
Name:BOWEN, CALYE MORGAN (LPC-S)
Entity type:Individual
Prefix:MRS
First Name:CALYE
Middle Name:MORGAN
Last Name:BOWEN
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:MS
Other - First Name:CALYE
Other - Middle Name:MORGAN
Other - Last Name:BOWEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-C
Mailing Address - Street 1:2524 N BROADWAY STE 327
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-4177
Mailing Address - Country:US
Mailing Address - Phone:405-548-5622
Mailing Address - Fax:
Practice Address - Street 1:2524 N BROADWAY STE 327
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73034-4177
Practice Address - Country:US
Practice Address - Phone:405-548-5622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2025-02-07
Deactivation Date:2021-02-10
Deactivation Code:
Reactivation Date:2025-02-05
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health