Provider Demographics
NPI:1629638796
Name:MILLER-DALEY, SADIE LYNN (LMHC , LPC/MHSP)
Entity Type:Individual
Prefix:
First Name:SADIE
Middle Name:LYNN
Last Name:MILLER-DALEY
Suffix:
Gender:F
Credentials:LMHC , LPC/MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:477 MADISON AVENUE
Mailing Address - Street 2:6TH FLOOR #6812
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022
Mailing Address - Country:US
Mailing Address - Phone:332-282-5900
Mailing Address - Fax:
Practice Address - Street 1:477 MADISON AVENUE
Practice Address - Street 2:6TH FLOOR #6812
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022
Practice Address - Country:US
Practice Address - Phone:332-282-5900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-19
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007205101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health