Provider Demographics
NPI:1821981788
Name:DAY, NANYAMKA ALISE BENN (LPC-A, LMHCA)
Entity type:Individual
Prefix:
First Name:NANYAMKA
Middle Name:ALISE BENN
Last Name:DAY
Suffix:
Gender:F
Credentials:LPC-A, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:718 E GEORGIA ST APT 126
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-3995
Mailing Address - Country:US
Mailing Address - Phone:317-698-4258
Mailing Address - Fax:317-698-4258
Practice Address - Street 1:930 W RALPH HALL PKWY
Practice Address - Street 2:SUITE 114 (HOME ADDRESS RELOCATING)
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032
Practice Address - Country:US
Practice Address - Phone:214-646-3789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX98571101YM0800X
IN88002591A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health