Chulyndria Laye, LPC
Individual provider Active NPI Counselor · Centerton, AR
NPI 1669806071 · NPPES record last updated Feb 4, 2024
Key facts
- NPI
- 1669806071
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- License
- P2202017 (AR)
- Practice address
- 2090 Tallgrass Ter
Centerton, AR 72719-4039 - Phone
- (479) 236-3585
- NPI assigned
- Aug 22, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P2202017 | AR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Purple W.I.N.G.S Counseling Services, LLC | Current |
Accepting new patients | |
| United Methodist Behavioral Health System, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | P2202017 | AR | Yes |
Addresses
Primary practice location
2090 Tallgrass Ter
Centerton, AR 72719-4039
Mailing address
2090 Tallgrass Ter
Centerton, AR 72719-4039
Phone (479) 236-3585
Other providers in Centerton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.