Provider Demographics
NPI:1396303442
Name:ADAY, REYNA (PHD, LMHC, LPC, CST)
Entity type:Individual
Prefix:DR
First Name:REYNA
Middle Name:
Last Name:ADAY
Suffix:
Gender:F
Credentials:PHD, LMHC, LPC, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7990 SW 117TH AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4865
Mailing Address - Country:US
Mailing Address - Phone:786-963-9770
Mailing Address - Fax:
Practice Address - Street 1:7990 SW 117TH AVE STE 215
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4865
Practice Address - Country:US
Practice Address - Phone:786-583-4725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-04
Last Update Date:2025-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
FLMH17063101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL103124000Medicaid