Healthcare Provider Details

I. General information

NPI: 1942128863
Provider Name (Legal Business Name): THE DAYLIGHT COLLECTIVE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

411 W LAKE LANSING RD STE A100
EAST LANSING MI
48823-8404
US

IV. Provider business mailing address

411 W LAKE LANSING RD STE A100
EAST LANSING MI
48823-8404
US

V. Phone/Fax

Practice location:
  • Phone: 517-899-0438
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DOMENICA DALLA-VECCHIA
Title or Position: PRACTICE OWNER
Credential: LMSW
Phone: 517-899-0438