Provider Demographics
NPI:1669528147
Name:TRAYFORD, DAVID KEITH (MS LPC NCC ATSA)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:KEITH
Last Name:TRAYFORD
Suffix:
Gender:M
Credentials:MS LPC NCC ATSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 WOODHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27295-1666
Mailing Address - Country:US
Mailing Address - Phone:336-249-4653
Mailing Address - Fax:336-249-4653
Practice Address - Street 1:910 MILL AVE
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27260-1628
Practice Address - Country:US
Practice Address - Phone:336-822-2827
Practice Address - Fax:336-833-4015
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2017-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2111101YP2500X
NC1839103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6107456Medicaid