Provider Demographics
NPI:1659234615
Name:COWAN, CODY LEE (LPC)
Entity type:Individual
Prefix:
First Name:CODY
Middle Name:LEE
Last Name:COWAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 FM 2001 APT 714
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-3959
Mailing Address - Country:US
Mailing Address - Phone:512-529-0450
Mailing Address - Fax:
Practice Address - Street 1:950 FM 2001 APT 714
Practice Address - Street 2:
Practice Address - City:BUDA
Practice Address - State:TX
Practice Address - Zip Code:78610-3959
Practice Address - Country:US
Practice Address - Phone:512-529-0450
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-06
Last Update Date:2025-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX93554101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty