Provider Demographics
NPI:1417628777
Name:TOWNSEND, CASEREA NIKKOL (LPC)
Entity type:Individual
Prefix:MS
First Name:CASEREA
Middle Name:NIKKOL
Last Name:TOWNSEND
Suffix:
Gender:
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 LAKEWAY DR
Mailing Address - Street 2:
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-6814
Mailing Address - Country:US
Mailing Address - Phone:901-207-0223
Mailing Address - Fax:
Practice Address - Street 1:215 LAKEWAY DR
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-6814
Practice Address - Country:US
Practice Address - Phone:901-207-0223
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-25
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86847101YM0800X, 163WC0400X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No163WC0400XNursing Service ProvidersRegistered NurseCase Management