Provider Demographics
NPI:1972093425
Name:LAY, REBECCA LANE (LPC, ALC)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LANE
Last Name:LAY
Suffix:
Gender:
Credentials:LPC, ALC
Other - Prefix:MISS
Other - First Name:REBECCA
Other - Middle Name:LANE
Other - Last Name:HENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2000 PRESERVE LAKE DR STE D
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-5340
Mailing Address - Country:US
Mailing Address - Phone:985-205-1441
Mailing Address - Fax:
Practice Address - Street 1:2000 PRESERVE LAKE DR STE D
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-5340
Practice Address - Country:US
Practice Address - Phone:985-205-1441
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-10
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA7496101Y00000X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty