BROOK ALEXIS FULTON (NPI# 1407464688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407464688 |
| Entity Type | Individual |
| Full Name | BROOK ALEXIS FULTON |
| Credential | LGPC, NCC |
| Practice Address |
8181 Main St Apt 2 Ellicott City MD 21043-4929 |
| Mailing Address |
5265 Lightfoot Path Columbia MD 21044-1100 |
| Practice Telephone | 7576513001 |
| Practice Fax Number | 7572223833 |
| Mailing Telephone | 4437979377 |
| Enumeration Date | 2020-07-14 |
| Last Update Date | 2020-07-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LGP10581 | MD | Behavioral Health & Social Service Providers |
| Street Address |
8181 MAIN ST APT 2 |
| City | ELLICOTT CITY |
| State | MD |
| Zip Code | 21043-4929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306488655 | Village Counseling LLC | Social Worker | 8181 Main St Apt 2, Ellicott City, MD 21043-4929 | 2019-10-08 |
| 1093328312 | Kevin Narby | Counselor | 8181 Main St Apt 2, Ellicott City, MD 21043-4929 | 2020-08-26 |
| 1770196248 | Rebecca Cumberland | Social Worker | 8181 Main St Apt 2, Ellicott City, MD 21043-4929 | 2020-08-25 |
| 1538787726 | Gardner Levering Mccullough II | Social Worker | 8181 Main St Apt 2, Ellicott City, MD 21043-4929 | 2020-07-14 |
| 1043854912 | Atin Kumar | Social Worker | 8181 Main St Apt 2, Ellicott City, MD 21043-4929 | 2019-11-04 |
| 1356985485 | Chekubechukwu Maduka | Social Worker | 8181 Main St Apt 2, Ellicott City, MD 21043-4929 | 2019-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982242764 | Joyce Melinda Kelly | Social Worker | 8181 Main Street, 2nd Floor, Ellicott City, MD 21043 | 2019-12-12 |
| 1437703972 | Capitol Health Care, LLC | Speech-Language Pathologist | 4115 Sears House Court, Ellicott City, MD 21043 | 2019-08-01 |
| 1851857429 | Carol Ann Mckissick | Counselor | 2850 N. Ridge Rd. Suite 208a, Santoro Psychological Services, Ellicott City, MD 21043 | 2019-02-19 |
| 1659877017 | Tender Touch Healthcare Services LLC | In Home Supportive Care | 8960 Town and Country Blvd, Apt F, Ellicott, MD 21043 | 2018-04-04 |
| 1912426099 | Hf & Associates, LLC | Community/Behavioral Health | 3565 C2 Ellicott Mills Drive, Suite 202, Ellicott City, MD 21043 | 2017-09-11 |
| 1134666779 | Stephanie Jean | Behavioral Analyst | 8762 Town and Country Blvd, Ellicott City, MD 21043 | 2017-01-20 |
| 1124574744 | I Can't We Can Counseling Center | Preferred Provider Organization | 7060 O(akland Mills Rd, Columbia, MD 21043 | 2016-09-01 |
| 1598139925 | Jun Woo Lee | Chiropractor | 8492 Baltimore National Pike Suite 105, Ellicott City, MD 21043 | 2015-11-23 |
| 1518338953 | Byron Lam | Chiropractor | 2850 N Ridge Rd Ste 107a, Ellicott City, MD 21043 | 2015-10-12 |
| 1942682174 | Jea Sub Song | Chiropractor | 3460 Ellicott Center Dr Ste 102, Ellicott City, MD 21043 | 2015-06-24 |
| Find all providers in zip 21043 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596257 | Leaf Mental Health Inc | Counselor | 4270 Bright Bay Way, Ellicott City, MD 21042-6000 | 2020-10-17 |
| 1053941484 | Cynthia Karen Mohamed | Counselor | 3525 Ellicott Mills Dr Ste 101, Ellicott City, MD 21043-4506 | 2020-01-24 |
| 1427467174 | Julie Nottingham | Counselor | 3872 Folly Quarter Rd, Ellicott City, MD 21042-1414 | 2014-08-07 |
| 1104163328 | Anshu Rani Basnyat | Counselor | 5150 Little Creek Dr, Ellicott City, MD 21043-7922 | 2013-01-08 |
| 1538437637 | Heidi May Woods | Counselor | 4785 Dorsey Hall Dr Ste 109, Ellicott City, MD 21042-7862 | 2011-12-05 |
| 1083910194 | Sandy Blackman | Counselor | 7609 Stony Creek Ln, Ellicott City, MD 21043-7903 | 2011-02-07 |
| 1780807909 | Kathryn Marie Reynolds | Counselor | 5114 Dorsey Hall Dr, Suite A, Ellicott City, MD 21042-7878 | 2007-04-10 |
| 1871633644 | Jennifer Noel Soethe | Counselor | 3566 Lowlen Ct, Ellicott City, MD 21042-3855 | 2007-02-08 |
| 1790858116 | Carole A Greenwald | Counselor | 2750 Rogers Ave, Ellicott City, MD 21043-3312 | 2006-11-15 |
| 1013006410 | Judy Ellen Gordon | Counselor | 5006 Dorsey Hall Dr, C-2, Ellicott City, MD 21042-7737 | 2006-10-12 |
| Find all providers in ELLICOTT CITY | ||||
| City | ELLICOTT CITY |
| Zip Code | 21043 |
Please comment or provide details below to improve the information on BROOK ALEXIS FULTON.
| 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.