Healthcare Provider Details

I. General information

NPI: 1316873672
Provider Name (Legal Business Name): ANNIE DAY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 S JEFFERSON ST
PERRY FL
32348-5611
US

IV. Provider business mailing address

1706 S JEFFERSON ST
PERRY FL
32348-5611
US

V. Phone/Fax

Practice location:
  • Phone: 850-757-1869
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberIMH23373
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: