Provider Demographics
NPI:1629229596
Name:LAY, LINDA COCHRAN (LPC)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:COCHRAN
Last Name:LAY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:COCHRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 3168
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:AR
Mailing Address - Zip Code:72936-3161
Mailing Address - Country:US
Mailing Address - Phone:479-438-3636
Mailing Address - Fax:833-202-1531
Practice Address - Street 1:2705 BEEN RIDGE RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:AR
Practice Address - Zip Code:72936-9207
Practice Address - Country:US
Practice Address - Phone:479-438-3636
Practice Address - Fax:833-202-1531
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARP1109070101YM0800X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health