Provider Demographics
NPI:1356762892
Name:COLLINS, TWONYA L (LCSW-A)
Entity type:Individual
Prefix:MRS
First Name:TWONYA
Middle Name:L
Last Name:COLLINS
Suffix:
Gender:F
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 JEFFERSON ST STE 2C
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24504-1724
Mailing Address - Country:US
Mailing Address - Phone:804-554-0356
Mailing Address - Fax:
Practice Address - Street 1:500 REVERE CROSSING LN
Practice Address - Street 2:APT 112
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27519-6875
Practice Address - Country:US
Practice Address - Phone:919-995-6337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-31
Last Update Date:2020-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0081841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical