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General NPI Number Information
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NPI Number | 1447846225
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Entity Type | Organization
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Legal Business Name | MYIA DAY COUNSELING, LLC
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 320 11TH AVE S STE 204
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City | NAMPA
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State | ID
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Zip | 83651-5074
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Country | US
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Telephone | 208-408-8479
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Fax |
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Provider Business Mailing Address
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Address Line | 16715 CLOVER VALLEY WAY
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City | NAMPA
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State | ID
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Zip | 83687-4967
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MYIA DAY
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Credential | LPC
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Telephone | 208-408-8479
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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