Provider Demographics
NPI:1285266932
Name:TOWLES, SUNDAY RAE (LPC)
Entity type:Individual
Prefix:MRS
First Name:SUNDAY
Middle Name:RAE
Last Name:TOWLES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:SUNDAY
Other - Middle Name:RAE
Other - Last Name:BECKMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:517 LEESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-2349
Mailing Address - Country:US
Mailing Address - Phone:434-299-8117
Mailing Address - Fax:
Practice Address - Street 1:517 LEESVILLE RD STE 203
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-2349
Practice Address - Country:US
Practice Address - Phone:434-299-8117
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-11
Last Update Date:2020-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008872101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty