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NPI Code Detail

MEDICARE: MR. EDWARD HOLT TOWNS JR. MA, LPC, LSOTP

MEDICARE: MR. EDWARD HOLT TOWNS JR. MA, LPC, LSOTP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor71622TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992172753
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EDWARD HOLT TOWNS JR. MA, LPC, LSOTP
Provider Business Mailing Address
First Line : 1751 RIVER RUN STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-6670
Country : US
Telephone Number : 512-975-9547
Fax Number :
Provider Business Practice Location Address
First Line : 1751 RIVER RUN STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-6670
Country : US
Telephone Number : 512-709-5863
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2015
Last Update Date : 11/03/2022

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