Healthcare Provider Details

I. General information

NPI: 1841444890
Provider Name (Legal Business Name): TOWNSEND RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2008
Last Update Date: 11/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 JOHNSTON ST SUITE 110
LAFAYETTE LA
70503-3269
US

IV. Provider business mailing address

36132 EMERALD COAST PKWY
DESTIN FL
32541-5776
US

V. Phone/Fax

Practice location:
  • Phone: 337-266-5155
  • Fax: 337-266-5157
Mailing address:
  • Phone: 850-424-3914
  • Fax: 850-424-3931

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number388
License Number StateLA

VIII. Authorized Official

Name: MR. MICHAEL HANDLEY
Title or Position: CEO
Credential:
Phone: 850-424-3914