Provider Demographics
NPI:1902473655
Name:FOLKERTH, MARIA (MS, LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:FOLKERTH
Suffix:
Gender:F
Credentials:MS, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5529 WORTH ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-4929
Mailing Address - Country:US
Mailing Address - Phone:214-334-4845
Mailing Address - Fax:
Practice Address - Street 1:5529 WORTH ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-4929
Practice Address - Country:US
Practice Address - Phone:214-334-4845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX92941101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional