Provider Demographics
NPI:1962548677
Name:SYKES, DAYNA L (LPC, MHSP)
Entity type:Individual
Prefix:MRS
First Name:DAYNA
Middle Name:L
Last Name:SYKES
Suffix:
Gender:F
Credentials:LPC, MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 305
Mailing Address - Street 2:
Mailing Address - City:GORDONSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:38563-0305
Mailing Address - Country:US
Mailing Address - Phone:615-489-6675
Mailing Address - Fax:615-683-8955
Practice Address - Street 1:169 JMZ DR
Practice Address - Street 2:
Practice Address - City:GORDONSVILLE
Practice Address - State:TN
Practice Address - Zip Code:38563-2106
Practice Address - Country:US
Practice Address - Phone:615-489-6675
Practice Address - Fax:615-683-8955
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-29
Last Update Date:2011-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2641101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health