Provider Demographics
NPI:1518016849
Name:DAY, WANDA L (LPCC)
Entity Type:Individual
Prefix:MS
First Name:WANDA
Middle Name:L
Last Name:DAY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1081 DOVE RUN RD
Mailing Address - Street 2:STE. 202
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-3584
Mailing Address - Country:US
Mailing Address - Phone:859-242-5201
Mailing Address - Fax:859-317-9437
Practice Address - Street 1:1081 DOVE RUN RD
Practice Address - Street 2:STE. 202
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-3584
Practice Address - Country:US
Practice Address - Phone:859-242-5201
Practice Address - Fax:859-317-9437
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2011-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY30615058Medicaid
KY0452Medicare ID - Type UnspecifiedMEDICARE