Provider Demographics
NPI:1477848505
Name:TRAORE, LAYE
Entity type:Individual
Prefix:MR
First Name:LAYE
Middle Name:
Last Name:TRAORE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2926 MACBETH LN
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-6628
Mailing Address - Country:US
Mailing Address - Phone:919-604-4219
Mailing Address - Fax:
Practice Address - Street 1:727 W HARGETT ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-2175
Practice Address - Country:US
Practice Address - Phone:919-803-8038
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-16
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty