KELLY LYNN FULLER
NPI 1033827308
Counselor - Mental Health in Bloomingdale, NY
- Individual
- Female
- Counselor
- Mental Health
About KELLY FULLER
This page provides the complete NPI Profile along with additional information for Kelly Fuller, a provider established in Bloomingdale, New York with a medical specialization in Counselor, focusing in mental health . The healthcare provider is registered in the NPI registry with number 1033827308 assigned on November 2022. The practitioner's primary taxonomy code is 101YM0800X with license number P118325 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1033827308 Verify this NPI
- Provider Name
- KELLY LYNN FULLER
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 755 COLD BROOK RD BLOOMINGDALE, NY 12913
- Location Phone
- (518) 637-4112
- Mailing Address
- 755 COLD BROOK RD BLOOMINGDALE, NY 12913
- Mailing Phone
- (518) 637-4112
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-07-2022
- Last Update Date
- 11-07-2022
- Code Navigator
A mental health counselor like Kelly Fuller provides treatment to individuals, families, couples, and groups for mental and emotional health issues and relationship problems. Mental health counselors treat clients with a variety of conditions, including anxiety, depression, grief, low self-esteem, stress, and suicidal impulses.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Mental Health
- Taxonomy Code
- 101YM0800X
- Type
- Behavioral Health & Social Service Providers
- License No.
- P118325
- License State
- NY
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033827308, enumerated as an "individual" on November 07, 2022.
The provider is located at 755 COLD BROOK RD BLOOMINGDALE, NY 12913 and the phone number is (518) 637-4112.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
