Provider Demographics
NPI:1285970095
Name:FOLEY, SHARON V (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:V
Last Name:FOLEY
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3008 BEVCHER DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:IN
Mailing Address - Zip Code:47250-3863
Mailing Address - Country:US
Mailing Address - Phone:812-265-1918
Mailing Address - Fax:812-265-1828
Practice Address - Street 1:3008 BEVCHER DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:IN
Practice Address - Zip Code:47250-3863
Practice Address - Country:US
Practice Address - Phone:812-265-1918
Practice Address - Fax:812-265-1828
Is Sole Proprietor?:No
Enumeration Date:2012-12-26
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN39003436A101YM0800X
KY163175101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional