Provider Demographics
NPI:1568840973
Name:FOULDS, LAURA (LMFT-A)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:FOULDS
Suffix:
Gender:F
Credentials:LMFT-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1616 MISTLETOE BLVD
Mailing Address - Street 2:#200
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76104-4047
Mailing Address - Country:US
Mailing Address - Phone:817-360-4462
Mailing Address - Fax:
Practice Address - Street 1:2647 HUNT ST
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2962
Practice Address - Country:US
Practice Address - Phone:817-360-4462
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202025106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist