Provider Demographics
NPI:1144495102
Name:TOWNSEND, LOU J (LPC)
Entity type:Individual
Prefix:MS
First Name:LOU
Middle Name:J
Last Name:TOWNSEND
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 GISH LN
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-5142
Mailing Address - Country:US
Mailing Address - Phone:903-705-5060
Mailing Address - Fax:903-787-5879
Practice Address - Street 1:112 E LINE ST STE 100D
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75702-5760
Practice Address - Country:US
Practice Address - Phone:903-705-5060
Practice Address - Fax:903-787-5879
Is Sole Proprietor?:No
Enumeration Date:2008-04-29
Last Update Date:2019-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17435101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX148282001Medicaid
TX148282002Medicaid