Provider Demographics
NPI:1275047888
Name:FOSTER-DAY, KYLI BROOKE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:KYLI
Middle Name:BROOKE
Last Name:FOSTER-DAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:KYLI
Other - Middle Name:BROOKE
Other - Last Name:DAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:830 HAZEL CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-3231
Mailing Address - Country:US
Mailing Address - Phone:607-857-1805
Mailing Address - Fax:
Practice Address - Street 1:254 FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1932
Practice Address - Country:US
Practice Address - Phone:716-852-1117
Practice Address - Fax:716-852-1110
Is Sole Proprietor?:No
Enumeration Date:2017-11-20
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CO0016646101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)