Provider Demographics
NPI:1922546837
Name:DAY, JAMIE (LMFT, RDT)
Entity Type:Individual
Prefix:MS
First Name:JAMIE
Middle Name:
Last Name:DAY
Suffix:
Gender:F
Credentials:LMFT, RDT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1859 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-6921
Mailing Address - Country:US
Mailing Address - Phone:646-221-8558
Mailing Address - Fax:
Practice Address - Street 1:1859 LAUREL ST
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-6921
Practice Address - Country:US
Practice Address - Phone:646-221-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-11
Last Update Date:2017-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT 2939172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker