LATISHA FULLER
NPI 1003158320
Counselor - Mental Health in Tulsa, OK
About Latisha Fuller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LATISHA FULLER (NPI 1003158320) is an individual mental health provider in Tulsa, Oklahoma and active in the NPI registry since March 2013.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Latisha Fuller's NPI number?
The NPI number for Latisha Fuller is 1003158320. It was assigned to this individual provider in the NPPES registry on March 25, 2013.
Where is Latisha Fuller located?
Latisha Fuller practices at 5125 S Utica Ave Apt 4, Tulsa, OK 74105. The listed phone number is (918) 734-5259.
What is Latisha Fuller's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
When was this NPI record last updated?
The NPPES record for Latisha Fuller was last updated on March 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Latisha Fuller · NPI 1003158320
Mental Health provider in Tulsa, Oklahoma. Individual provider, active in the CMS NPPES registry since March 25, 2013.
## Identity
- **NPI:** 1003158320 (Entity type: Individual)
- **Enumerated:** March 25, 2013
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5125 S UTICA AVE APT 4, Tulsa, OK 74105-5727
- **Phone:** (918) 734-5259
## Record status
- **NPPES last updated:** March 25, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1003158320) · Data from the CMS NPPES public registry.