Provider Demographics
NPI:1669806071
Name:LAYE, CHULYNDRIA (LPC)
Entity type:Individual
Prefix:DR
First Name:CHULYNDRIA
Middle Name:
Last Name:LAYE
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 1:2090 TALLGRASS TER
Mailing Address - Street 2:
Mailing Address - City:CENTERTON
Mailing Address - State:AR
Mailing Address - Zip Code:72719-4039
Mailing Address - Country:US
Mailing Address - Phone:479-236-3585
Mailing Address - Fax:
Practice Address - Street 1:2090 TALLGRASS TER
Practice Address - Street 2:
Practice Address - City:CENTERTON
Practice Address - State:AR
Practice Address - Zip Code:72719-4039
Practice Address - Country:US
Practice Address - Phone:479-236-3585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-22
Last Update Date:2024-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP2202017101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor