Provider Demographics
NPI:1821316035
Name:FOLEY, ANTHONY KARL SR (LPC)
Entity Type:Individual
Prefix:MR
First Name:ANTHONY
Middle Name:KARL
Last Name:FOLEY
Suffix:SR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 BARBARA LN NE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30062-1431
Mailing Address - Country:US
Mailing Address - Phone:678-643-9806
Mailing Address - Fax:770-322-1565
Practice Address - Street 1:2824 BARBARA LN NE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30062
Practice Address - Country:US
Practice Address - Phone:678-643-9806
Practice Address - Fax:770-322-1565
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-12
Last Update Date:2018-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1-17-28638103K00000X
GA003311101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst