Healthcare Provider Details
I. General information
NPI: 1396303442
Provider Name (Legal Business Name): REYNA ADAY PHD, LMHC, LPC, CST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/04/2019
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
338 MINORCA AVE STE 202
CORAL GABLES FL
33134-4304
US
IV. Provider business mailing address
338 MINORCA AVE STE 202
CORAL GABLES FL
33134-4304
US
V. Phone/Fax
- Phone: 305-209-6588
- Fax:
- Phone: 305-209-6588
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | MH17063 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: