Provider Demographics
NPI:1669683330
Name:FOLEY, HOLLIE MICHELLE (LMLP, LCPC, LPC)
Entity type:Individual
Prefix:MS
First Name:HOLLIE
Middle Name:MICHELLE
Last Name:FOLEY
Suffix:
Gender:F
Credentials:LMLP, LCPC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:215 E 46TH ST APT 2W
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64112-1708
Mailing Address - Country:US
Mailing Address - Phone:913-634-7086
Mailing Address - Fax:
Practice Address - Street 1:4701 COLLEGE BLVD STE 115
Practice Address - Street 2:
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66211-1608
Practice Address - Country:US
Practice Address - Phone:913-777-4020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS03108103T00000X
MO2005038698101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO490046406Medicaid