Provider Demographics
NPI:1942983671
Name:FOLSE, HAILEY ALISE (LMSW)
Entity type:Individual
Prefix:
First Name:HAILEY
Middle Name:ALISE
Last Name:FOLSE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2439 MANHATTAN BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-5341
Mailing Address - Country:US
Mailing Address - Phone:504-333-6657
Mailing Address - Fax:504-373-6193
Practice Address - Street 1:2439 MANHATTAN BLVD STE 304
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-5341
Practice Address - Country:US
Practice Address - Phone:504-333-6657
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-09
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA17909104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty