Provider Demographics
NPI:1407422744
Name:TWINING, NANCY LEE (LCDC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:LEE
Last Name:TWINING
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5805 64TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-2707
Mailing Address - Country:US
Mailing Address - Phone:979-900-2525
Mailing Address - Fax:
Practice Address - Street 1:5805 64TH ST STE 1
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2707
Practice Address - Country:US
Practice Address - Phone:979-900-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15684101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)