Provider Demographics
NPI:1689377525
Name:FOLGER, MADELINE OLIVIA (LMHCA)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:OLIVIA
Last Name:FOLGER
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:OLIVIA
Other - Last Name:MORRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHCA
Mailing Address - Street 1:1531 13TH ST STE 2540
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47201-1305
Mailing Address - Country:US
Mailing Address - Phone:812-372-3745
Mailing Address - Fax:812-954-0888
Practice Address - Street 1:1531 13TH ST STE 2540
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-1305
Practice Address - Country:US
Practice Address - Phone:812-372-3745
Practice Address - Fax:812-954-0888
Is Sole Proprietor?:No
Enumeration Date:2023-03-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN88001845A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health