Provider Demographics
NPI:1730133810
Name:KELLIHER, LOUISE HENRI (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:LOUISE
Middle Name:HENRI
Last Name:KELLIHER
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3517 LIONEL LN
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28311-2093
Mailing Address - Country:US
Mailing Address - Phone:910-488-1006
Mailing Address - Fax:910-488-3227
Practice Address - Street 1:4400 RAMSEY ST
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28311-2135
Practice Address - Country:US
Practice Address - Phone:910-488-1006
Practice Address - Fax:910-488-3227
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2186101Y00000X
NC653106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist