Healthcare Provider Details

I. General information

NPI: 1083431761
Provider Name (Legal Business Name): JULIA MARGARET FOLSE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2024
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 N MAIN ST FL 3
HATTIESBURG MS
39401-3582
US

IV. Provider business mailing address

35 NEWPORT RD
NEW LONDON NH
03257-5413
US

V. Phone/Fax

Practice location:
  • Phone: 601-699-4080
  • Fax:
Mailing address:
  • Phone: 603-865-1321
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number097.0136255
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberM11080
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: