Provider Demographics
NPI:1871362483
Name:TWILIGHT PSYCHOLOGY, PLLC
Entity type:Organization
Organization Name:TWILIGHT PSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:LAUREN
Authorized Official - Last Name:CORNETT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP
Authorized Official - Phone:859-285-6534
Mailing Address - Street 1:501 DARBY CREEK RD STE 7
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40509-1605
Mailing Address - Country:US
Mailing Address - Phone:859-285-6534
Mailing Address - Fax:502-324-3210
Practice Address - Street 1:501 DARBY CREEK RD STE 7
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40509-1605
Practice Address - Country:US
Practice Address - Phone:859-285-6534
Practice Address - Fax:502-324-3210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-22
Last Update Date:2024-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty