Provider Demographics
NPI:1073046785
Name:MAY, RAYLA FISH (LPC)
Entity Type:Individual
Prefix:MS
First Name:RAYLA
Middle Name:FISH
Last Name:MAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:RAYLA
Other - Middle Name:
Other - Last Name:FISH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:12 ENSEY ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGHILL
Mailing Address - State:LA
Mailing Address - Zip Code:71075
Mailing Address - Country:US
Mailing Address - Phone:318-465-3651
Mailing Address - Fax:
Practice Address - Street 1:12 ENSEY ST
Practice Address - Street 2:
Practice Address - City:SPRINGHILL
Practice Address - State:LA
Practice Address - Zip Code:71075
Practice Address - Country:US
Practice Address - Phone:318-465-3651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-10
Last Update Date:2017-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA4091101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional