Toniya Lay

Individual provider Active NPI Counselor · Choctaw, MS

NPI 1134557580 · NPPES record last updated Sep 22, 2022

Key facts

NPI
1134557580
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
1814 (MS)
Practice address
210 Hospital Cir
Choctaw, MS 39350-6781
Phone
(601) 389-6290
Fax
(601) 663-7935
NPI assigned
Oct 23, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1814MSMDCounselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 1814 MS Yes

Addresses

Primary practice location

210 Hospital Cir
Choctaw, MS 39350-6781

Mailing address

5919 Langs Mill Rd
Forest, MS 39074-9004
Phone (601) 504-1905

Other providers in Choctaw, MS

All providers in Choctaw, MS · Counselor in Mississippi

Sources for this page

Verify at the official NPI Registry.