Provider Demographics
NPI:1639895519
Name:TERRY-MCCARRELL, TWYLA CHERIE (LPC-A)
Entity Type:Individual
Prefix:MRS
First Name:TWYLA
Middle Name:CHERIE
Last Name:TERRY-MCCARRELL
Suffix:
Gender:F
Credentials:LPC-A
Other - Prefix:MRS
Other - First Name:TWYLA
Other - Middle Name:
Other - Last Name:MCCARRELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1207 W RED BIRD LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-2813
Mailing Address - Country:US
Mailing Address - Phone:214-334-2240
Mailing Address - Fax:
Practice Address - Street 1:14800 QUORUM DR STE 255
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75254-1415
Practice Address - Country:US
Practice Address - Phone:469-708-8681
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-13
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89199101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional