Healthcare Provider Details

I. General information

NPI: 1952211039
Provider Name (Legal Business Name): HANNA NICOLE TOWNLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 E STATE ST
MASON CITY IA
50401-3300
US

IV. Provider business mailing address

PO BOX 126
ROCKWELL IA
50469-0126
US

V. Phone/Fax

Practice location:
  • Phone: 641-421-2089
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number140631
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: