Provider Demographics
NPI:1164689824
Name:TOWNSELL, WILLIAM H (LMHC)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:H
Last Name:TOWNSELL
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 DR MARTIN LUTHER KING ST N
Mailing Address - Street 2:SUITE 202
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33705-1472
Mailing Address - Country:US
Mailing Address - Phone:727-820-7747
Mailing Address - Fax:727-820-7795
Practice Address - Street 1:500 DR MARTIN LUTHER KING ST N
Practice Address - Street 2:SUITE 202
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1472
Practice Address - Country:US
Practice Address - Phone:727-820-7747
Practice Address - Fax:727-820-7795
Is Sole Proprietor?:No
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 7602101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health