Provider Demographics
NPI:1720066574
Name:FOLSE, THOMAS GREGG (MA, MAP)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:GREGG
Last Name:FOLSE
Suffix:
Gender:M
Credentials:MA, MAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6059 MOSSEY GROVE LN
Mailing Address - Street 2:
Mailing Address - City:AWENDAW
Mailing Address - State:SC
Mailing Address - Zip Code:29429-6132
Mailing Address - Country:US
Mailing Address - Phone:843-928-3970
Mailing Address - Fax:843-928-4076
Practice Address - Street 1:1156 BOWMAN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:MT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-3803
Practice Address - Country:US
Practice Address - Phone:843-991-0440
Practice Address - Fax:843-928-4076
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3362101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional