Provider Demographics
NPI:1710613872
Name:SANKS, TWYLA D (MS, LMHC)
Entity Type:Individual
Prefix:MRS
First Name:TWYLA
Middle Name:D
Last Name:SANKS
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:655 OAK HOLLOW WAY
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-1839
Mailing Address - Country:US
Mailing Address - Phone:407-970-7774
Mailing Address - Fax:
Practice Address - Street 1:655 OAK HOLLOW WAY
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-1839
Practice Address - Country:US
Practice Address - Phone:407-970-7774
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-29
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health