Healthcare Provider Details

I. General information

NPI: 1396649059
Provider Name (Legal Business Name): CHRISTEN TOWNSEND CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

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

III. Provider practice location address

2213 W PALMETTO ST UNIT D
FLORENCE SC
29501-3909
US

IV. Provider business mailing address

2214 CENTERVILLE RD
LATTA SC
29565-4434
US

V. Phone/Fax

Practice location:
  • Phone: 843-799-4701
  • Fax: 843-799-4784
Mailing address:
  • Phone: 803-428-7500
  • Fax: 843-799-4784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number9898
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: