Provider Demographics
NPI:1437285343
Name:SYKES, TAWNYA MARIE (MA, LCPC)
Entity Type:Individual
Prefix:MS
First Name:TAWNYA
Middle Name:MARIE
Last Name:SYKES
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:MRS
Other - First Name:TAWNYA
Other - Middle Name:MARIE
Other - Last Name:CANTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LCPC
Mailing Address - Street 1:2047 HARVEY GUMMEL RD
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:MD
Mailing Address - Zip Code:21074-1034
Mailing Address - Country:US
Mailing Address - Phone:443-478-6727
Mailing Address - Fax:
Practice Address - Street 1:2047 HARVEY GUMMEL RD
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:MD
Practice Address - Zip Code:21074-1034
Practice Address - Country:US
Practice Address - Phone:443-478-6727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2019-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LC1231101Y00000X
MDLC1231101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor