Provider Demographics
NPI:1083165344
Name:CARTER-PITCHFORD, FOLAYAN (MA,LPC,CAADC)
Entity Type:Individual
Prefix:
First Name:FOLAYAN
Middle Name:
Last Name:CARTER-PITCHFORD
Suffix:
Gender:F
Credentials:MA,LPC,CAADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 MAYBERRY DR
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-3424
Mailing Address - Country:US
Mailing Address - Phone:313-806-5176
Mailing Address - Fax:
Practice Address - Street 1:1130 MAYBERRY DR
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48085-3424
Practice Address - Country:US
Practice Address - Phone:313-806-5176
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401009935101Y00000X
MIC-03174101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)