MEDICARE: TWILIGHT PSYCHOLOGY, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	103TC1900X	Counseling Psychologist
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner
3	101YM0800X	Mental Health Counselor
4	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1871362483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TWILIGHT PSYCHOLOGY, PLLC

Provider Business Mailing Address
First Line	:	503B DARBY CREEK RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1603
Country	:	US
Telephone Number	:	859-285-6534
Fax Number	:	502-324-3210

Provider Business Practice Location Address
First Line	:	503B DARBY CREEK RD
Second Line	:
City	:	LEXINGTON
State	:	KY
Zip	:	40509-1603
Country	:	US
Telephone Number	:	859-285-6534
Fax Number	:	502-324-3210

Authorized Official
Title or Position	:	LICENSED PSYCHOLOGIST
Name	:	DR. HEATHER LAUREN CORNETT
Credential	:	PH.D., LP
Telephone Number	:	859-285-6534

Provider Enumeration Date	:	12/22/2023
Last Update Date	:	05/04/2026

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