ANITA LYNNE FULMER


Address: 6270 Salem Cir Apt 120, Fort Worth, TX 76132-3003
Phone: 9366158595

ANITA LYNNE FULMER (NPI# 1386255453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386255453
Entity Type Individual
Full Name ANITA LYNNE FULMER
Credential LCDC
Practice Address 6270 Salem Cir Apt 120
Fort Worth
TX 76132-3003
Practice Telephone 9366158595
Mailing Telephone 9366158595
Enumeration Date 2020-08-12
Last Update Date 2020-08-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
12505 TX Behavioral Health & Social Service Providers

Office Location

Street Address 6270 SALEM CIR APT 120
City FORT WORTH
State TX
Zip Code 76132-3003

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215551031 Leah Klyce Cothran Counselor 4200 S Hulen St Ste 674, Fort Worth, TX 76109-4987 2020-06-08
1194284885 Sandra Wenclasky Counselor 3604 Winifred Dr, Fort Worth, TX 76133-2127 2019-03-13
1285113746 Deirdre P Browne Counselor 1500 E El Paso, Fort Worth, TX 76102 2018-08-07
1306333562 Joel Campos Counselor 4200 South Fwy Ste 210, Fort Worth, TX 76115-1400 2018-04-13
1750899225 Jason King Counselor 9705 Polk Ave, Fort Worth, TX 76177-7379 2018-01-17
1598274771 Donna Mcdonald Stout Counselor 3001a W 5th St, Fort Worth, TX 76107-2206 2017-09-20
1053831016 Emily Rana Hanson Counselor 1801 N Riverside Dr, Fort Worth, TX 76111-2732 2017-06-21
1780125369 Nichole Carter Counselor 4820 Valley Springs Trl, Fort Worth, TX 76244-5904 2017-03-15
1285181727 Fort Wellness, Pllc Counselor 1809 Ridgmar Blvd, Fort Worth, TX 76116-2018 2016-09-01
1205286762 Rane Perry Wallace Counselor 1509 S University Dr Ste 212, Fort Worth, TX 76107-9501 2016-06-15
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Competitor

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City FORT WORTH
Zip Code 76132

Improve Information

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Dataset Information

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.

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