Doctor Name: | LAKISHA DAY |
NPI Number: | 1336558667 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 604 27th Ave Phenix City, AL - 36867 |
Business Phone Number: | 7068879909 |
Business Fax Number: | |
Mailing Address: | Po Box 692, PHENIX CITY |
State: | AL |
Postal Code: | 368680692 |
Phone Number: | 7068879909 |
Fax Number: | |
NPI Enumeration Date: | 08/12/2014 |
NPI Last Update Date: | 08/12/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |