Healthcare Provider Details

I. General information

NPI: 1083437032
Provider Name (Legal Business Name): TWILIGHT'S HOLISTIC HEALING, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 FRED MICHAEL LN
BERKELEY SPRINGS WV
25411-7191
US

IV. Provider business mailing address

410 FRED MICHAEL LN
BERKELEY SPRINGS WV
25411-7191
US

V. Phone/Fax

Practice location:
  • Phone: 304-880-4871
  • Fax:
Mailing address:
  • Phone: 304-880-4871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ERIN NICHOLE HARRIS-SMITH
Title or Position: FOUNDER/THERAPIST
Credential: MA, LCPC, LPHA
Phone: 304-880-4871