Provider Demographics
NPI:1962270173
Name:FOLEY, LAURA MICHELLE (LMFTA)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MICHELLE
Last Name:FOLEY
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:MICHELLE FOLEY
Other - Last Name:HATHORN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:105 PHEASANT WALK WAY
Mailing Address - Street 2:
Mailing Address - City:VILAS
Mailing Address - State:NC
Mailing Address - Zip Code:28692-8371
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:184 N WATER ST STE 8
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-3556
Practice Address - Country:US
Practice Address - Phone:828-263-6468
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2024-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC20026A106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist