Healthcare Provider Details

I. General information

NPI: 1710746128
Provider Name (Legal Business Name): ROBERT LEY LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/18/2024
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1560 W BEEBE CAPPS EXPY STE B
SEARCY AR
72143-5176
US

IV. Provider business mailing address

1310 W MAIN ST STE 201
RUSSELLVILLE AR
72801-2803
US

V. Phone/Fax

Practice location:
  • Phone: 501-451-5891
  • Fax:
Mailing address:
  • Phone: 479-968-2001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP2606014
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: