Healthcare Provider Details

I. General information

NPI: 1609788298
Provider Name (Legal Business Name): KIMBERLY TOWNSEND LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2026
Last Update Date: 09/19/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

245 N LINCOLN AVE APT 413
LOVELAND CO
80537-5786
US

IV. Provider business mailing address

245 N LINCOLN AVE APT 413
LOVELAND CO
80537-5786
US

V. Phone/Fax

Practice location:
  • Phone: 720-619-0676
  • Fax:
Mailing address:
  • Phone: 720-619-0676
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC.0024637
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: