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FULLER LIFE CONCEPTS
NPI 1053979278
Counselor - Mental Health in Lakewood, CA

Active since June 03, 2019
5150 CANDLEWOOD ST STE 18C, LAKEWOOD, CA 90712(323) 334-0064 Get Directions Write a Review

NPPES record last updated: June 3, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Fuller Life Concepts NPPES

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

FULLER LIFE CONCEPTS (NPI 1053979278) is a healthcare organization registered as a mental health in Lakewood, California and active in the NPI registry since June 2019. The organization lists Kim Fuller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053979278
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameFULLER LIFE CONCEPTS
Location Address5150 CANDLEWOOD ST STE 18CLakewood, CA 90712-1927
Mailing AddressPo Box 7402Long Beach, CA 90807-0402 · (323) 334-0064
Phone(323) 334-0064
Organization SubpartNo
Authorized OfficialKim FullerCeo · (323) 336-2294
Enumeration DateJune 3, 2019
✔ NPI 1053979278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
5150 CANDLEWOOD ST STE 18C, Lakewood, CA 90712
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOANNA AMENERO LCSW
Social Worker (Clinical)
5150 CANDLEWOOD ST STE 18C
LAKEWOOD, CA 90712
Los Angeles County (323) 528-4846

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 Fuller Life Concepts's NPI number?

The NPI number for Fuller Life Concepts is 1053979278. It was assigned to this organization in the NPPES registry on June 3, 2019.

Where is Fuller Life Concepts located?

Fuller Life Concepts is located at 5150 Candlewood St Ste 18C, Lakewood, CA 90712. The listed phone number is (323) 334-0064.

What is Fuller Life Concepts'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 Fuller Life Concepts was last updated on June 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.