Provider Demographics
NPI:1518445261
Name:DAY, MILES (LPC)
Entity Type:Individual
Prefix:
First Name:MILES
Middle Name:
Last Name:DAY
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:MILES
Other - Middle Name:
Other - Last Name:CORNELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1419 S GROVE ST
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-6642
Mailing Address - Country:US
Mailing Address - Phone:734-489-1319
Mailing Address - Fax:
Practice Address - Street 1:122 S MAIN ST STE 240-B
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1929
Practice Address - Country:US
Practice Address - Phone:734-489-1319
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-04
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401018796101YP2500X
MI6401016708101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional