Provider Demographics
NPI:1689972952
Name:TOWNE CENTER COUNSELING GROUP INC
Entity Type:Organization
Organization Name:TOWNE CENTER COUNSELING GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:DELORES
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:757-595-2727
Mailing Address - Street 1:5 BEAVER CASTLE CT
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-6031
Mailing Address - Country:US
Mailing Address - Phone:757-595-2727
Mailing Address - Fax:757-595-2776
Practice Address - Street 1:5 BEAVER CASTLE CT
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-6031
Practice Address - Country:US
Practice Address - Phone:757-595-2727
Practice Address - Fax:757-595-2776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-10
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health