Healthcare Provider Details

I. General information

NPI: 1316677370
Provider Name (Legal Business Name): DAYNA SICKAU LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/13/2022
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 SPRUCE ST
NORTH COLLINS NY
14111-9701
US

IV. Provider business mailing address

3946 MONROE AVE
HAMBURG NY
14075-3721
US

V. Phone/Fax

Practice location:
  • Phone: 716-337-3706
  • Fax:
Mailing address:
  • Phone: 716-225-0097
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number016588
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: