Provider Demographics
NPI:1124519863
Name:SHEILA DAY COUNSELING LLC
Entity type:Organization
Organization Name:SHEILA DAY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMSW CADC
Authorized Official - Prefix:
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-551-7776
Mailing Address - Street 1:12785 WILDERNESS TRL
Mailing Address - Street 2:
Mailing Address - City:GRAND HAVEN
Mailing Address - State:MI
Mailing Address - Zip Code:49417-7637
Mailing Address - Country:US
Mailing Address - Phone:616-551-8044
Mailing Address - Fax:
Practice Address - Street 1:923 S BEECHTREE ST STE 10
Practice Address - Street 2:
Practice Address - City:GRAND HAVEN
Practice Address - State:MI
Practice Address - Zip Code:49417-2306
Practice Address - Country:US
Practice Address - Phone:616-551-7776
Practice Address - Fax:616-741-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801101816104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty