Provider Demographics
NPI:1700906831
Name:TOWNSEND, RICK (D MIN)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:
Last Name:TOWNSEND
Suffix:
Gender:M
Credentials:D MIN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 E HENDRON CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-9146
Mailing Address - Country:US
Mailing Address - Phone:865-579-9814
Mailing Address - Fax:
Practice Address - Street 1:126 E HENDRON CHAPEL RD
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-9146
Practice Address - Country:US
Practice Address - Phone:865-579-9814
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN50101YP1600X
TN204106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist