FULL CUP WELLNESS PSYCHOLOGY PROFESSIONAL CORPORATION - NPI 1033864814

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

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About Full Cup Wellness Psychology Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULL CUP WELLNESS PSYCHOLOGY PROFESSIONAL CORPORATION (NPI 1033864814) is a healthcare organization registered as a mental health in Roseville, California and active in the NPI registry since February 2022. The organization maintains a secondary practice location in Gulfport and lists Holly Spotts, Owner, as its authorized official.

NPPES Registry Identity

NPI1033864814

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameFULL CUP WELLNESS PSYCHOLOGY PROFESSIONAL CORPORATION

Location Address1700 EUREKA RD STE 155Roseville, CA 95661-7786

Mailing AddressPo Box 506Folsom, CA 95763-0506 · (916) 705-2896

Phone(916) 705-2896

Organization SubpartNo

Authorized OfficialHolly SpottsOwner · (916) 705-2896

Enumeration DateFebruary 19, 2022

NPPES CertifiedFebruary 19, 2022

✔ NPI 1033864814 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1700 EUREKA RD STE 155, Roseville, CA 95661

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Secondary Practice Location 1

Location 11520 29th AveGulfport, MS 39501-2843 · Phone (916) 705-2896

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP