Healthcare Provider Details

I. General information

NPI: 1205760618
Provider Name (Legal Business Name): MARLOW BRYAN TOWNSEND
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 TATUM DR
NEW BERN NC
28560-4314
US

IV. Provider business mailing address

1309 TATUM DR
NEW BERN NC
28560-4314
US

V. Phone/Fax

Practice location:
  • Phone: 252-672-8742
  • Fax:
Mailing address:
  • Phone: 252-672-8742
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number31834
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP024209
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: