Provider Demographics
NPI:1639211642
Name:FOLKS, LEAH ELAINE (LMFT)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:ELAINE
Last Name:FOLKS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 N COMMERCIAL ST
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-2665
Mailing Address - Country:US
Mailing Address - Phone:920-969-5320
Mailing Address - Fax:920-969-7975
Practice Address - Street 1:325 N COMMERCIAL ST
Practice Address - Street 2:
Practice Address - City:NEENAH
Practice Address - State:WI
Practice Address - Zip Code:54956-2665
Practice Address - Country:US
Practice Address - Phone:920-969-5320
Practice Address - Fax:920-969-7975
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI745-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist