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DENISE V FULLLER
NPI 1063232221
Counselor - Addiction (Substance Use Disorder) in Winston Salem, NC

Active since October 14, 2024
1405 N PATTERSON AVE, WINSTON SALEM, NC 27105(333) 484-1501 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Denise V Fulller NPPES

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

DENISE V FULLLER (NPI 1063232221) is an individual addiction (substance use disorder) provider in Winston Salem, North Carolina, licensed in North Carolina (1639592900) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1063232221
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameDENISE V FULLLER
Location Address1405 N PATTERSON AVEWinston Salem, NC 27105-6029
Mailing Address1405 N Patterson AveWinston Salem, NC 27105-6029 · (336) 484-1501
Phone(333) 484-1501
Sole ProprietorNo
Enumeration DateOctober 14, 2024
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1063232221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NC · 1639592900
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1405 N PATTERSON AVE, Winston Salem, NC 27105
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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 Denise Fulller's NPI number?

The NPI number for Denise Fulller is 1063232221. It was assigned to this individual provider in the NPPES registry on October 14, 2024.

Where is Denise Fulller located?

Denise Fulller practices at 1405 N Patterson Ave, Winston Salem, NC 27105. The listed phone number is (333) 484-1501.

What is Denise Fulller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Denise Fulller was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.