Provider Demographics
NPI:1356043012
Name:BRIAN TOWERS LMFT LLC
Entity type:Organization
Organization Name:BRIAN TOWERS LMFT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:WADE
Authorized Official - Last Name:TOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:540-361-1556
Mailing Address - Street 1:307 LAFAYETTE BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22401-6079
Mailing Address - Country:US
Mailing Address - Phone:540-361-1556
Mailing Address - Fax:540-361-1557
Practice Address - Street 1:307 LAFAYETTE BLVD STE 303
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-6079
Practice Address - Country:US
Practice Address - Phone:540-361-1556
Practice Address - Fax:540-361-1557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)