Healthcare Provider Details

I. General information

NPI: 1346671666
Provider Name (Legal Business Name): ZACHARY RYAN TOWNSEND LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2013
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 W LINE ST STE 4
CALHOUN GA
30701-1837
US

IV. Provider business mailing address

225 W LINE ST STE 4
CALHOUN GA
30701-1837
US

V. Phone/Fax

Practice location:
  • Phone: 678-383-0636
  • Fax:
Mailing address:
  • Phone: 678-383-0636
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW008261
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: