Healthcare Provider Details

I. General information

NPI: 1669683330
Provider Name (Legal Business Name): HOLLIE MICHELLE FOLEY LMLP, LCPC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4701 COLLEGE BLVD STE 115
LEAWOOD KS
66211-1608
US

IV. Provider business mailing address

4701 COLLEGE BLVD STE 115
LEAWOOD KS
66211-1608
US

V. Phone/Fax

Practice location:
  • Phone: 913-777-4020
  • Fax:
Mailing address:
  • Phone: 913-777-4020
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number03108
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2005038698
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: