Provider Demographics
NPI:1023114303
Name:TOWNES-ROLAND, EMILY MCKELLAR (LCMHC, LCMHCS, LCAS)
Entity type:Individual
Prefix:MS
First Name:EMILY
Middle Name:MCKELLAR
Last Name:TOWNES-ROLAND
Suffix:
Gender:F
Credentials:LCMHC, LCMHCS, LCAS
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:MCKELLAR
Other - Last Name:TOWNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMHC
Mailing Address - Street 1:PO BOX 104
Mailing Address - Street 2:
Mailing Address - City:HORSE SHOE
Mailing Address - State:NC
Mailing Address - Zip Code:28742-0104
Mailing Address - Country:US
Mailing Address - Phone:828-277-6161
Mailing Address - Fax:
Practice Address - Street 1:48 WARLICK ROAD
Practice Address - Street 2:
Practice Address - City:MILLS RIVER
Practice Address - State:NC
Practice Address - Zip Code:28759
Practice Address - Country:US
Practice Address - Phone:828-713-2505
Practice Address - Fax:866-418-1514
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC067642163W00000X
NC3915101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6102107Medicaid
NC136FYOtherNVML BCBSNC GRP # 015HF