Provider Demographics
NPI:1881929008
Name:TOWLES, URSULA (LCPC)
Entity type:Individual
Prefix:
First Name:URSULA
Middle Name:
Last Name:TOWLES
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22776 THREE NOTCH RD STE 202
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-3370
Mailing Address - Country:US
Mailing Address - Phone:301-862-9600
Mailing Address - Fax:301-862-9606
Practice Address - Street 1:22776 THREE NOTCH RD STE 202
Practice Address - Street 2:
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-3370
Practice Address - Country:US
Practice Address - Phone:301-862-9600
Practice Address - Fax:301-862-9606
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD589561803Medicaid