Healthcare Provider Details

I. General information

NPI: 1447305131
Provider Name (Legal Business Name): JESSICA F. FOLEY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 BREWER ST APT 2
NEW LONDON CT
06320-6071
US

IV. Provider business mailing address

9 BREWER ST APT 2
NEW LONDON CT
06320-6071
US

V. Phone/Fax

Practice location:
  • Phone: 617-877-0071
  • Fax: 617-440-3653
Mailing address:
  • Phone: 617-877-0071
  • Fax: 617-440-3653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number6161
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: