MRS. MELISSA SUZANNE FULTON (NPI# 1831651959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831651959 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA SUZANNE FULTON |
| Credential | LMHC |
| Practice Address |
65 3rd St Nw Ste 201 Winter Haven FL 33881-4638 |
| Mailing Address |
445 Madina Cir Davenport FL 33837-8865 |
| Practice Telephone | 8632931744 |
| Mailing Telephone | 4073015975 |
| Enumeration Date | 2019-04-06 |
| Last Update Date | 2019-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH16797 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437493582 | Melissa J Fulton | Counselor | 128 E Mill St Ste A, Kingstree, SC 29556-3428 | 2012-11-15 |
| 1992165427 | Melissa Fulton | Counselor | 1239 E Main St, Bartow, FL 33830-5058 | 2016-02-25 |
| 1144630047 | Melissa A Fulton | Nurse Practitioner | 6507 Harrison Ave Unit N, Cincinnati, OH 45247-2815 | 2014-04-30 |
| 1003147620 | Melissa Ann Fulton | Case Manager/Care Coordinator | 8001 S Us Highway 75, Sherman, TX 75090-5707 | 2010-01-21 |
| 1972513067 | Melissa Jean Fulton | Dietitian, Registered | 11201 Benton St, Loma Linda, CA 92357-1000 | 2006-08-09 |
| 1578595567 | Melissa Kaye Fulton | Nurse Practitioner | 1760 County Road J, Wahoo, NE 68066-4152 | 2006-07-07 |
| Street Address |
65 3RD ST NW STE 201 |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33881-4638 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851486179 | Donna Therese Grosser | Counselor | 65 3rd St Nw Ste 201, Winter Haven, FL 33881-4638 | 2006-10-03 |
| 1801176011 | Family Learning Solutions, LLC | Counselor | 65 3rd St Nw Ste 201, Winter Haven, FL 33881-4638 | 2011-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114534476 | Ctc's Heart of Caring, Inc | In Home Supportive Care | 2995 Eagle Nest View Drive, Winter Haven, FL 33881 | 2020-09-29 |
| 1356813869 | Michael Thomas Wiernicki | Dentist | 1074 Spring Lake Plaza, Winter Haven, FL 33881 | 2018-12-21 |
| 1659862423 | Patricia Pelt | Social Worker | 3073 Buckeye Point Dr, Winter Haven, FL 33881 | 2018-05-28 |
| 1952891244 | Ansley Health LLC | Home Health | 1502 6th Ct Ne, Winter Haven, FL 33881 | 2018-05-14 |
| 1346699261 | Yovanka Zapata | Specialist/Technologist, Other | 5856 Windrigde Dr., Winter Haven, FL 33881 | 2016-06-10 |
| 1720415599 | Villa Pharmacy LLC | Pharmacy | 105 Avenue R Nw, Winter Haven, FL 33881 | 2013-10-10 |
| 1992149397 | Nic 5 Spring Haven Leasing LLC | Assisted Living Facility | 1225 Nw Havendale Boulevard, Winter Haven, FL 33881 | 2013-04-29 |
| 1780938225 | Penelope Sturdevant | Nurse Practitioner | 2791 Lake Alfred Rd., Winter Haven, FL 33881 | 2012-11-06 |
| 1649548165 | Tim R Acree | Non-emergency Medical Transport (VAN) | 2 Eagles Nest, Winter Haven, FL 33881 | 2011-12-12 |
| 1285899419 | Adjustment and Awareness Counseling | Community/Behavioral Health | 243 3rd St Nw, Winter Haven, FL 33881 | 2008-07-28 |
| Find all providers in zip 33881 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487286472 | Briana Renee Coffman | Counselor | 650 Avenue K Nw, Winter Haven, FL 33881-4032 | 2020-02-07 |
| 1962034207 | Amy Radivoy | Counselor | 333 Lake Howard Dr Nw Apt 312b, Winter Haven, FL 33880-2310 | 2020-02-05 |
| 1568024578 | Deirdra Eileen Sanders-burnett | Counselor | 1106 Meadow Lark Ln, Winter Haven, FL 33884-2543 | 2019-07-01 |
| 1407416514 | Elzie Dwight Frazier | Counselor | 526 Cody Caleb Dr, Winter Haven, FL 33884-2206 | 2019-06-20 |
| 1104325364 | Aimee Lightburn | Counselor | 7512 Cypress Gardens Blvd, Winter Haven, FL 33884-3200 | 2018-02-02 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1386195329 | Patti Beisner | Counselor | 438 Gleneagles Ct, Winter Haven, FL 33884-1221 | 2016-10-14 |
| 1538544564 | Erik Gordon | Counselor | 713 S Lake Florence Dr, Winter Haven, FL 33884-2249 | 2015-07-20 |
| 1811390164 | Marie Beauvil | Counselor | 707 25th St Nw, Winter Haven, FL 33881-2937 | 2014-10-01 |
| 1003247883 | Sarah Steger | Counselor | 343 Terranova Blvd, Winter Haven, FL 33884-3427 | 2013-12-04 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33881 |
Please comment or provide details below to improve the information on MRS. MELISSA SUZANNE 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.