Provider Demographics
NPI:1003341744
Name:FOLLEY, CHUCKEIA (LPCC-S)
Entity Type:Individual
Prefix:
First Name:CHUCKEIA
Middle Name:
Last Name:FOLLEY
Suffix:
Gender:F
Credentials:LPCC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 W 1ST ST STE 308
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-1150
Mailing Address - Country:US
Mailing Address - Phone:937-367-4614
Mailing Address - Fax:
Practice Address - Street 1:118 W 1ST ST # 308
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-1150
Practice Address - Country:US
Practice Address - Phone:374-433-7659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-01
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.1901099101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional