Provider Demographics
NPI:1023132206
Name:FOLEY, LOGAN G (LPC)
Entity type:Individual
Prefix:MR
First Name:LOGAN
Middle Name:G
Last Name:FOLEY
Suffix:
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 1:4980 BLUEBONNET BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70809-3091
Mailing Address - Country:US
Mailing Address - Phone:225-292-0155
Mailing Address - Fax:225-292-0157
Practice Address - Street 1:4980 BLUEBONNET BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70809-3091
Practice Address - Country:US
Practice Address - Phone:225-292-0155
Practice Address - Fax:225-292-0157
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2014-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1013101YP2500X
LA4187101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional