Provider Demographics
NPI:1952838559
Name:TOWNLEY, SHANNA ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:SHANNA
Middle Name:ANN
Last Name:TOWNLEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SHANNA
Other - Middle Name:ANN
Other - Last Name:MALOIT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 84
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE
Mailing Address - State:MA
Mailing Address - Zip Code:02359-0084
Mailing Address - Country:US
Mailing Address - Phone:617-807-0021
Mailing Address - Fax:
Practice Address - Street 1:260 WASHINGTON ST FL 1
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359-1805
Practice Address - Country:US
Practice Address - Phone:617-807-0021
Practice Address - Fax:508-427-1505
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-15
Last Update Date:2022-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA12102101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health