Provider Demographics
NPI:1033359310
Name:STANIFER, TWYLA JEAN (LPC)
Entity Type:Individual
Prefix:
First Name:TWYLA
Middle Name:JEAN
Last Name:STANIFER
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 1:152 N COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:SUNBURY
Mailing Address - State:OH
Mailing Address - Zip Code:43074-9223
Mailing Address - Country:US
Mailing Address - Phone:614-273-9204
Mailing Address - Fax:419-423-9877
Practice Address - Street 1:232 W HARDIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3106
Practice Address - Country:US
Practice Address - Phone:419-423-7812
Practice Address - Fax:419-423-9877
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC 0500494101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional