Provider Demographics
NPI:1366201220
Name:LAYES ENTERPRISE LLC
Entity type:Organization
Organization Name:LAYES ENTERPRISE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:RENEA
Authorized Official - Last Name:LAYES
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-SLP
Authorized Official - Phone:479-438-4235
Mailing Address - Street 1:PO BOX 496
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:AR
Mailing Address - Zip Code:72863-0496
Mailing Address - Country:US
Mailing Address - Phone:479-438-4235
Mailing Address - Fax:
Practice Address - Street 1:307 PENNINGTON DR STE A
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:AR
Practice Address - Zip Code:72855-3747
Practice Address - Country:US
Practice Address - Phone:479-438-4235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty