Provider Demographics
NPI:1457832800
Name:QUAID, TWILA DEE (LMHC)
Entity Type:Individual
Prefix:
First Name:TWILA
Middle Name:DEE
Last Name:QUAID
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 61
Mailing Address - Street 2:
Mailing Address - City:LEWIS
Mailing Address - State:NY
Mailing Address - Zip Code:12950-0061
Mailing Address - Country:US
Mailing Address - Phone:518-534-1249
Mailing Address - Fax:
Practice Address - Street 1:1732 FRONT ST
Practice Address - Street 2:
Practice Address - City:KEESEVILLE
Practice Address - State:NY
Practice Address - Zip Code:12944-3618
Practice Address - Country:US
Practice Address - Phone:518-534-1249
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY007710-1OtherNYSED.GOV