Provider Demographics
NPI:1154556116
Name:TOWNSEND, LINDA ANN (M S, LPC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ANN
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:M S, LPC
Other - Prefix:
Other - First Name:LINANN
Other - Middle Name:
Other - Last Name:TOWNSEND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LPC
Mailing Address - Street 1:2100 E BROADWAY
Mailing Address - Street 2:SUITE 317
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6082
Mailing Address - Country:US
Mailing Address - Phone:573-443-7091
Mailing Address - Fax:573-693-4190
Practice Address - Street 1:2100 E BROADWAY
Practice Address - Street 2:SUITE 317
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6082
Practice Address - Country:US
Practice Address - Phone:573-443-7091
Practice Address - Fax:573-693-4190
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-20
Last Update Date:2009-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004031524101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health