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General NPI Number Information
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NPI Number | 1306363239
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Entity Type | Organization
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Legal Business Name | LINDA LAY COUNSELING
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 09/19/2024
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Provider Practice Location Address
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Address Line | 2705 BEEN RIDGE RD
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City | GREENWOOD
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State | AR
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Zip | 72936-9207
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Country | US
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Telephone | 479-438-3636
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Fax | 833-202-1531
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Provider Business Mailing Address
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Address Line | PO BOX 3168
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City | GREENWOOD
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State | AR
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Zip | 72936-3161
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Country | US
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Telephone | 479-438-3636
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Fax | 833-202-1531
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Authorized Official
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Title or Position | OWNER
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Name | MS. LINDA LAY
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Credential | LPC
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Telephone | 479-438-3636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | P1109070
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License Number State | AR
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