Healthcare Provider Details

I. General information

NPI: 1184482515
Provider Name (Legal Business Name): KELLY J TOWNSEND CD(DONA), ICCE(ICEA)
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7816 WATERVIEW DR
ORCHARD BEACH MD
21226-2115
US

IV. Provider business mailing address

7816 WATERVIEW DR
ORCHARD BEACH MD
21226-2115
US

V. Phone/Fax

Practice location:
  • Phone: 480-332-6290
  • Fax:
Mailing address:
  • Phone: 480-332-6290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLGP18310
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: