Provider Demographics
NPI:1174607048
Name:LAY, RODNEY PAUL (BSW)
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:PAUL
Last Name:LAY
Suffix:
Gender:M
Credentials:BSW
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:50 A CAMBRIDGE ARMS APTS
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILE
Mailing Address - State:NC
Mailing Address - Zip Code:28303
Mailing Address - Country:US
Mailing Address - Phone:910-309-8359
Mailing Address - Fax:
Practice Address - Street 1:109 BRADFORD AVE
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-5401
Practice Address - Country:US
Practice Address - Phone:910-323-0601
Practice Address - Fax:910-323-2916
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)