Provider Demographics
NPI:1114624194
Name:DAFFIN, LANYA ROCHEAN (LPC)
Entity Type:Individual
Prefix:
First Name:LANYA
Middle Name:ROCHEAN
Last Name:DAFFIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3263 DEMETROPOLIS RD STE 8
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36693-4638
Mailing Address - Country:US
Mailing Address - Phone:251-459-0200
Mailing Address - Fax:
Practice Address - Street 1:3263 DEMETROPOLIS RD STE 8
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36693-4638
Practice Address - Country:US
Practice Address - Phone:251-459-0200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL04709101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional