Provider Demographics
NPI:1275756819
Name:TOWNSLEY, DONNA SUE (LLPC)
Entity Type:Individual
Prefix:MS
First Name:DONNA
Middle Name:SUE
Last Name:TOWNSLEY
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37385 GOLFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:STERLING HEIGHTS
Mailing Address - State:MI
Mailing Address - Zip Code:48312-2268
Mailing Address - Country:US
Mailing Address - Phone:586-264-3696
Mailing Address - Fax:586-268-6712
Practice Address - Street 1:4151 17 MILE RD
Practice Address - Street 2:SUITE D
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48310-6866
Practice Address - Country:US
Practice Address - Phone:586-268-6712
Practice Address - Fax:586-268-6908
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009157101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health