Healthcare Provider Details

I. General information

NPI: 1760325427
Provider Name (Legal Business Name): HARLEY TOWNSEND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2904 VETERANS DR
SCOTTSBORO AL
35769-3562
US

IV. Provider business mailing address

2904 VETERANS DR
SCOTTSBORO AL
35769-3562
US

V. Phone/Fax

Practice location:
  • Phone: 256-647-3557
  • Fax:
Mailing address:
  • Phone: 256-647-3557
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number7493G
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: