Basic Information
| Provider Information | |||||||||
| NPI: | 1306015110 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TOWNES | ||||||||
| FirstName: | KASI | ||||||||
| MiddleName: | B. | ||||||||
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| Credential: | LMSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6210 DOLLARWAY RD | ||||||||
| Address2: | STE 4 | ||||||||
| City: | PINE BLUFF | ||||||||
| State: | AR | ||||||||
| PostalCode: | 716023733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8702473588 | ||||||||
| FaxNumber: | 8702472072 | ||||||||
| Practice Location | |||||||||
| Address1: | 6210 DOLLARWAY RD | ||||||||
| Address2: | STE 4 | ||||||||
| City: | PINE BLUFF | ||||||||
| State: | AR | ||||||||
| PostalCode: | 716023733 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8702473588 | ||||||||
| FaxNumber: | 8702472072 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/26/2008 | ||||||||
| LastUpdateDate: | 11/16/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 104100000X | 2590-M | AR | Y | Behavioral Health & Social Service Providers | Social Worker |
No ID Information.