CYNTHIA FULKERTH (NPI# 1811596570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811596570 |
| Entity Type | Individual |
| Full Name | CYNTHIA FULKERTH |
| Practice Address |
124 W Gates St Ste 203 Bruce Twp MI 48065-4493 |
| Mailing Address |
7149 Riverbend Ct Washington Twp MI 48094-2183 |
| Practice Telephone | 5863360422 |
| Mailing Telephone | 5863222809 |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
6401017400 | MI | Behavioral Health & Social Service Providers |
| Street Address |
124 W GATES ST STE 203 |
| City | BRUCE TWP |
| State | MI |
| Zip Code | 48065-4493 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982063095 | Trilogy Healthcare of Romeo, LLC | Skilled Nursing Facility | 71150 Orchard Crossing Lane, Romeo, MI 48065 | 2016-02-17 |
| 1801288931 | Authentic Living Therapy Center | Social Worker | 254 Fairgrove, Romeo, MI 48065 | 2015-02-26 |
| 1356739122 | Rite Aid Corp | Pharmacy | 298 N Main St, Romeo, MI 48065 | 2015-01-02 |
| 1306010657 | Erica Lee Mason | Physical Therapist | 67962 South Vandyke, Romeo, MI 48065 | 2008-04-17 |
| 1538365945 | Aks of Romeo LLC | Clinic/Center | 67962 S Van Dyke, Romeo, MI 48065 | 2007-06-22 |
| 1124150495 | Rodney Alan Rohloff | Dentist | 155 South Rawles St, Romeo, MI 48065 | 2007-03-12 |
| 1770610420 | Macomb County Mental Health | Community/Behavioral Health | 70288 Hillside Court, Bruce Township, MI 48065 | 2007-02-28 |
| 1801923172 | M Magsoudi Dds PC | Dentist | 229 North Bailey St, Romeo, MI 48065 | 2007-02-27 |
| 1922172436 | Harry Gee | Emergency Medicine | 80650 Van Dyke Avenue, Henry Ford Macomb Hospital, Romeo, MI 48065 | 2006-11-17 |
| 1801987136 | Kimberly C Hazel | Social Worker | 1 N Starkweather Aly Fl 3, Romeo, MI 48065 | 2006-09-28 |
| Find all providers in zip 48065 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548100 | Grey Street Counseling and Wellness Center, LLC | Counselor | 314 Moonlite Court, Clarkston, MI 48348 | 2020-11-06 |
| 1619578549 | Joy Love Telehealth | Counselor | 444 Beach Farm Cir, Highland, MI 48356 | 2020-11-06 |
| 1407457799 | Next Level Counseling and Consulting, LLC | Counselor | 5231 Grayton St, Detroit, MI 48224-2149 | 2020-11-04 |
| 1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
| 1033719679 | Jonelle Reynoso | Counselor | 140 Lyndenglen Dr Apt 208, Ann Arbor, MI 48103-6979 | 2020-10-30 |
| 1659971802 | Lauren Antoinette Long | Counselor | 732 E Grand Blanc Rd, Grand Blanc, MI 48439-1333 | 2020-10-27 |
| 1730788530 | Ryan Michael De Nike | Counselor | 4710 W Saginaw Hwy Ste 8, Lansing, MI 48917-2654 | 2020-10-22 |
| 1467051201 | Jennifer Joelle Jacobs | Counselor | 3760 Whispering Way Se Apt 204, Grand Rapids, MI 49546-7601 | 2020-10-22 |
| 1669071585 | Carraus Harden | Counselor | 13238 N Norfolk, Detroit, MI 48235-1026 | 2020-10-21 |
| 1629677893 | Jackson Healing Clinic LLC | Counselor | 2020 Cascade Dr, Jackson, MI 49203-3810 | 2020-10-20 |
| Find all providers with the same taxonomy | ||||
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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.