Healthcare Provider Details

I. General information

NPI: 1295248474
Provider Name (Legal Business Name): FRANK L LAY LPC, CPCS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/10/2017
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 NUCKOLS RD STE 100
GLEN ALLEN VA
23060-9277
US

IV. Provider business mailing address

10900 NUCKOLS RD STE 100
GLEN ALLEN VA
23060-9277
US

V. Phone/Fax

Practice location:
  • Phone: 804-207-6737
  • Fax:
Mailing address:
  • Phone: 804-207-6737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number0711000440
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number004398
License Number StateGA
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number0701003652
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: