Provider Demographics
NPI:1295086973
Name:TOWERS, PAIGE ELIZABETH (LMFT)
Entity type:Individual
Prefix:MS
First Name:PAIGE
Middle Name:ELIZABETH
Last Name:TOWERS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 EMERALD TERRACE #4
Mailing Address - Street 2:
Mailing Address - City:SWANSEA
Mailing Address - State:IL
Mailing Address - Zip Code:62226
Mailing Address - Country:US
Mailing Address - Phone:618-516-3338
Mailing Address - Fax:618-233-7935
Practice Address - Street 1:6 EMERALD TERRACE #4
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:IL
Practice Address - Zip Code:62226
Practice Address - Country:US
Practice Address - Phone:618-516-3338
Practice Address - Fax:618-233-7935
Is Sole Proprietor?:No
Enumeration Date:2012-09-21
Last Update Date:2016-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.001112106H00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program