Provider Demographics
NPI:1073613956
Name:TOWNSEND, LINDA L (RN MS LPC LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:L
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:RN MS LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:806 E AVENUE D
Mailing Address - Street 2:STE F
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-2284
Mailing Address - Country:US
Mailing Address - Phone:254-547-6415
Mailing Address - Fax:254-547-2030
Practice Address - Street 1:806 E AVENUE D
Practice Address - Street 2:STE F
Practice Address - City:COPPERAS COVE
Practice Address - State:TX
Practice Address - Zip Code:76522-2284
Practice Address - Country:US
Practice Address - Phone:254-547-6415
Practice Address - Fax:254-547-2030
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3713101YP2500X
TX001540106H00000X
TX429429163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Not Answered163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXPMH003062Medicare ID - Type UnspecifiedPSYCH-MH CLIN SPEC