Provider Demographics
NPI:1225482623
Name:DAY, DIANE (LPC, LAC)
Entity Type:Individual
Prefix:
First Name:DIANE
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:LPC, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2406 N MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-3267
Mailing Address - Country:US
Mailing Address - Phone:864-406-6041
Mailing Address - Fax:864-406-6042
Practice Address - Street 1:2406 N MAIN ST STE A
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-3267
Practice Address - Country:US
Practice Address - Phone:864-406-6041
Practice Address - Fax:468-406-6042
Is Sole Proprietor?:No
Enumeration Date:2016-04-21
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6637101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health