Healthcare Provider Details

I. General information

NPI: 1720902182
Provider Name (Legal Business Name): BROOKLYN ELIZABETH TWOMEY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7514 COLLINS MEADE WAY
ALEXANDRIA VA
22315-5251
US

IV. Provider business mailing address

7514 COLLINS MEADE WAY
ALEXANDRIA VA
22315-5251
US

V. Phone/Fax

Practice location:
  • Phone: 937-369-1242
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number39006119A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: