Provider Demographics
NPI:1699907964
Name:TOWNES CONSULTING AND PSYCHOLOGICAL SERVICES, LLC
Entity type:Organization
Organization Name:TOWNES CONSULTING AND PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:L
Authorized Official - Last Name:TOWNES
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:770-880-5332
Mailing Address - Street 1:2337 DEERFIELD CHASE SE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-6307
Mailing Address - Country:US
Mailing Address - Phone:770-880-5332
Mailing Address - Fax:678-420-3488
Practice Address - Street 1:191 PEACHTREE STREET
Practice Address - Street 2:SUITE 3300
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-1740
Practice Address - Country:US
Practice Address - Phone:770-880-5332
Practice Address - Fax:678-420-3488
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPSY002894103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA430278877AMedicaid