Provider Demographics
NPI:1932432150
Name:WOOD, DAYNA D (NCC, LMHC, REAT)
Entity type:Individual
Prefix:MS
First Name:DAYNA
Middle Name:D
Last Name:WOOD
Suffix:
Gender:F
Credentials:NCC, LMHC, REAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2217 BREVARD RD NE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33704-3541
Mailing Address - Country:US
Mailing Address - Phone:727-342-0054
Mailing Address - Fax:
Practice Address - Street 1:11 9TH ST S
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33705-1616
Practice Address - Country:US
Practice Address - Phone:727-342-0054
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004179101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health