Provider Demographics
NPI:1255637807
Name:TOWNSEND, CYNTHIA LYNNETTE
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LYNNETTE
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 1:18245 PAULSON DR
Mailing Address - Street 2:STE 124
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33954-1019
Mailing Address - Country:US
Mailing Address - Phone:941-586-4507
Mailing Address - Fax:
Practice Address - Street 1:18245 PAULSON DR
Practice Address - Street 2:STE 124
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33954-1019
Practice Address - Country:US
Practice Address - Phone:941-586-4507
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-31
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health