Provider Demographics
NPI:1457598179
Name:LAYTON, SHIRLEY POWELL (LPC)
Entity Type:Individual
Prefix:MRS
First Name:SHIRLEY
Middle Name:POWELL
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 1:98 GRASSY POND LN
Mailing Address - Street 2:
Mailing Address - City:RICHLANDS
Mailing Address - State:NC
Mailing Address - Zip Code:28574-8204
Mailing Address - Country:US
Mailing Address - Phone:910-324-6130
Mailing Address - Fax:910-324-1585
Practice Address - Street 1:98 GRASSY POND LN
Practice Address - Street 2:
Practice Address - City:RICHLANDS
Practice Address - State:NC
Practice Address - Zip Code:28574-8204
Practice Address - Country:US
Practice Address - Phone:910-324-6130
Practice Address - Fax:910-324-1585
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-16
Last Update Date:2009-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC959101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional