Provider Demographics
NPI:1407368483
Name:TWYMAN, DANIELL
Entity Type:Individual
Prefix:MRS
First Name:DANIELL
Middle Name:
Last Name:TWYMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9200 FOREST HILL AVE STE C2
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23235-6867
Mailing Address - Country:US
Mailing Address - Phone:804-447-9030
Mailing Address - Fax:
Practice Address - Street 1:6372 MECHANICSVILLE TPKE STE 111
Practice Address - Street 2:
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-4705
Practice Address - Country:US
Practice Address - Phone:804-593-6620
Practice Address - Fax:804-592-6971
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-30
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional