Provider Demographics
NPI:1538458971
Name:MEYER, TWILA K (LPC)
Entity type:Individual
Prefix:MRS
First Name:TWILA
Middle Name:K
Last Name:MEYER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 BEDFORD RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76022-6694
Mailing Address - Country:US
Mailing Address - Phone:817-228-7761
Mailing Address - Fax:
Practice Address - Street 1:1117 BEDFORD RD
Practice Address - Street 2:SUITE C
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76022-6694
Practice Address - Country:US
Practice Address - Phone:817-228-7761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65089101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional