Mancil, Twyla Lucinda

Mancil, Twyla Lucinda is an individual health care provider with primary practice located at 2236 Bemiss Rd , Valdosta GA 31602-1942. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Mancil, Twyla Lucinda can be contacted via phone (229) 474-9800.

Contact Information

Primary practice address
2236 Bemiss Rd Valdosta GA 31602-1942
Phone: (229) 474-9800
Fax: (912) 550-4166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1181 Oklahoma
Behavioral Health & Social Service Providers / Psychologist 103T00000X PSY003935 Georgia

Profile Details

NPI number 1447677828
LBN Legal business name Mancil, Twyla Lucinda
Credentials PH. D.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2014
Last updated Aug 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447677828 NPPES
Georgia MEDICAID 003168093D
Georgia MEDICAID 003189481A

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