Provider Demographics
NPI:1073925897
Name:TOWNSEND, ANGELA M
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:M
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 DENNIS ST TRLR 82
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73003-5737
Mailing Address - Country:US
Mailing Address - Phone:405-367-4224
Mailing Address - Fax:
Practice Address - Street 1:301 DENNIS ST
Practice Address - Street 2:TRLR 82
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73003-5734
Practice Address - Country:US
Practice Address - Phone:405-367-4224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-28
Last Update Date:2019-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251E00000XAgenciesHome Health