ELLE KATHRYN-FORBES FULTZ (NPI# 1306489919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306489919 |
| Entity Type | Individual |
| Full Name | ELLE KATHRYN-FORBES FULTZ |
| Practice Address |
2730 S Val Vista Dr Ste 137 Gilbert AZ 85295-1681 |
| Mailing Address |
1012 W Indigo St Mesa AZ 85201-2049 |
| Practice Telephone | 4803134535 |
| Mailing Telephone | 4803134535 |
| Enumeration Date | 2019-10-26 |
| Last Update Date | 2019-10-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-18277 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
2730 S VAL VISTA DR STE 137 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85295-1681 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811360316 | Redemption Psychiatry LLC | Psychologist | 2730 S Val Vista Dr Ste 137, Gilbert, AZ 85295-1681 | 2015-11-05 |
| 1306445879 | Kristen Pantermarakis | Counselor | 2730 S Val Vista Dr Ste 137, Gilbert, AZ 85295-1681 | 2020-10-25 |
| 1700346533 | Aynsley Danielle Babinski | Counselor | 2730 S Val Vista Dr Ste 137, Gilbert, AZ 85295-1681 | 2019-03-20 |
| 1073090452 | Raymonda D Matheka | Psychologist | 2730 S Val Vista Dr Ste 137, Gilbert, AZ 85295-1681 | 2018-07-27 |
| 1346742541 | Sarva Center for Well-being | Social Worker | 2730 S Val Vista Dr Ste 137, Gilbert, AZ 85295-1681 | 2018-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471368 | Lifequest Holding Company Gilbert, LLC | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1255946075 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd. Suite 101, Gilbert, AZ 85295 | 2020-09-09 |
| 1407467962 | Lifequest Physical Medicine and Rehab | Physical Medicine & Rehabilitation | 4049 E. Williams Field Rd, Suite 101, Gilbert, AZ 85295 | 2020-08-10 |
| 1275187718 | Guylene Lucien | Nurse Practitioner | 1689 S. Parkcrest Street, Gilbert, AZ 85295 | 2019-08-01 |
| 1326607144 | Hand Up Behavioral Services, LLC | Community/Behavioral Health | 4145 East Megan Street, Gilbert, AZ 85295 | 2019-06-06 |
| 1629582069 | Victoria Munoz Garcia | Naturopath | 920 S Williams Field Rd., Ste 102, Gilbert, AZ 85295 | 2017-11-21 |
| 1649798752 | Eureka Imperial Residence | Clinic/Center | 633 E Ray Road, Gilbert, AZ 85295 | 2017-09-08 |
| 1447791496 | Janine Patrice Faux | Counselor | 2563 S. Val Vista Drive St. 108, Gilbert, AZ 85295 | 2017-03-10 |
| 1437690450 | Erskine & Barber LLC | Clinic/Center | 5656 S. Power Rd #129, Gilbert, AZ 85295 | 2017-03-09 |
| 1164965448 | New Horizon Youth Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 774 E. Buffalo St, Chandler, AZ 85295 | 2016-11-18 |
| Find all providers in zip 85295 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225636319 | Stride Forward Counseling LLC | Counselor | 6566 S Oakwood Way, Gilbert, AZ 85298-4068 | 2020-10-12 |
| 1447860721 | Jennifer Lynn Vitagliano | Counselor | 1057 E Kensington Rd, Gilbert, AZ 85297-0023 | 2020-08-03 |
| 1790393197 | Joven Health, LLC | Counselor | 3635 E Larson Ln, Gilbert, AZ 85295-7229 | 2020-07-21 |
| 1083222681 | Reve Guillaume-partee | Counselor | 1166 E Warner Rd Ste 203, Gilbert, AZ 85296-3066 | 2020-07-20 |
| 1659905743 | New Legacy Counseling, Az, Pllc | Counselor | 1206 E Warner Rd Ste 118, Gilbert, AZ 85296-3133 | 2020-02-27 |
| 1871125724 | Erica Reveron | Counselor | 2473 S Higley Rd Ste 104-124, Gilbert, AZ 85295-3020 | 2020-02-09 |
| 1396385514 | Kaitlin Larissa Amini | Counselor | 428 S Gilbert Rd Ste 109, Gilbert, AZ 85296-2262 | 2020-01-15 |
| 1609414531 | Cassandra Duffy | Counselor | 3303 E Baseline Rd Ste 207, Gilbert, AZ 85234-2728 | 2019-12-10 |
| 1427606904 | Natalie Staples | Counselor | 3651 E Baseline Rd Ste E-120, Gilbert, AZ 85234-2689 | 2019-08-28 |
| 1184286908 | Megan Leonhardt Heywood | Counselor | 3336 E Chandler Heights Rd Ste 123, Gilbert, AZ 85298-4263 | 2019-07-01 |
| Find all providers in GILBERT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.