Provider Demographics
NPI:1053859215
Name:LAYTON, WOODRINA (LPC)
Entity Type:Individual
Prefix:MRS
First Name:WOODRINA
Middle Name:
Last Name:LAYTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7811 CAMBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30134-3871
Mailing Address - Country:US
Mailing Address - Phone:770-767-9083
Mailing Address - Fax:
Practice Address - Street 1:3830 S COBB DR SE
Practice Address - Street 2:SUITE 300
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-5532
Practice Address - Country:US
Practice Address - Phone:770-429-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-02-08
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC009445101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional