Provider Demographics
NPI:1922153337
Name:FOIL, AIMEE PENTON (LCSW/BACS)
Entity Type:Individual
Prefix:MRS
First Name:AIMEE
Middle Name:PENTON
Last Name:FOIL
Suffix:
Gender:F
Credentials:LCSW/BACS
Other - Prefix:MRS
Other - First Name:NICOLE
Other - Middle Name:AIMEE
Other - Last Name:FOIL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW/BACS
Mailing Address - Street 1:835 PRIDE DR STE B
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-9527
Mailing Address - Country:US
Mailing Address - Phone:985-543-4730
Mailing Address - Fax:985-543-4752
Practice Address - Street 1:835 PRIDE DR STE B
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-9527
Practice Address - Country:US
Practice Address - Phone:985-543-4730
Practice Address - Fax:985-543-4752
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA55121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAPENDINGMedicare PIN