Provider Demographics
NPI:1316558695
Name:LAY, LAUREN CLAIRE (NCC)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:CLAIRE
Last Name:LAY
Suffix:
Gender:F
Credentials:NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 CENTER PARK DR STE 104
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922-2167
Mailing Address - Country:US
Mailing Address - Phone:865-392-5225
Mailing Address - Fax:
Practice Address - Street 1:123 CENTER PARK DR STE 104
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-2167
Practice Address - Country:US
Practice Address - Phone:865-392-5225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1154075101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health