Provider Demographics
NPI:1912533688
Name:REBECCA G. TOWNSEND
Entity Type:Organization
Organization Name:REBECCA G. TOWNSEND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:G
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC-NCC; SLPE-HSP
Authorized Official - Phone:931-206-1669
Mailing Address - Street 1:1662 GOLF CLUB LN
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-4897
Mailing Address - Country:US
Mailing Address - Phone:931-551-4640
Mailing Address - Fax:
Practice Address - Street 1:1662 GOLF CLUB LN
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4897
Practice Address - Country:US
Practice Address - Phone:931-551-4640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-13
Last Update Date:2020-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty