Healthcare Provider Details

I. General information

NPI: 1306363239
Provider Name (Legal Business Name): LINDA LAY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2017
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2432 BOBOLINK CIR W
PALMVIEW TX
78572-5298
US

IV. Provider business mailing address

2432 BOBOLINK CIR W
PALMVIEW TX
78572-5298
US

V. Phone/Fax

Practice location:
  • Phone: 479-438-3636
  • Fax: 833-202-1531
Mailing address:
  • Phone: 479-438-3636
  • Fax: 833-202-1531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberP1109070
License Number StateAR

VIII. Authorized Official

Name: MS. LINDA LAY
Title or Position: OWNER
Credential: LPC
Phone: 479-438-3636