Provider Demographics
NPI:1356556641
Name:FOLEY, TIMOTHY ARTHUR (MFCC)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:ARTHUR
Last Name:FOLEY
Suffix:
Gender:M
Credentials:MFCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 W HUNTINGTON DRIVE
Mailing Address - Street 2:#2
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-6315
Mailing Address - Country:US
Mailing Address - Phone:626-792-1184
Mailing Address - Fax:626-793-7083
Practice Address - Street 1:1225 W HUNTINGTON DRIVE
Practice Address - Street 2:#2
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007
Practice Address - Country:US
Practice Address - Phone:626-792-1184
Practice Address - Fax:626-793-7083
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC13257106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist