MEDICARE: LINDA LAY COUNSELING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	P1109070	AR

General Provider Information

NPI Number	:	1306363239
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LINDA LAY COUNSELING

Provider Business Mailing Address
First Line	:	2432 BOBOLINK CIR W
Second Line	:
City	:	PALMVIEW
State	:	TX
Zip	:	78572-5298
Country	:	US
Telephone Number	:	479-438-3636
Fax Number	:	833-202-1531

Provider Business Practice Location Address
First Line	:	4943 OLD GREENWOOD RD
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-6923
Country	:	US
Telephone Number	:	479-438-3636
Fax Number	:	833-202-1531

Authorized Official
Title or Position	:	OWNER
Name	:	MS. LINDA LAY
Credential	:	LPC
Telephone Number	:	479-438-3636

Provider Enumeration Date	:	08/22/2017
Last Update Date	:	02/13/2026

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