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DYEANNA FULLER LLC
NPI 1073147427
Counselor - Mental Health in Melbourne, FL

Active since February 25, 2020
1600 W EAU GALLIE BLVD STE 201F, MELBOURNE, FL 32935(561) 740-5350 Get Directions Write a Review

NPPES record last updated: February 25, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Dyeanna Fuller Llc NPPES

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

DYEANNA FULLER LLC (NPI 1073147427) is a healthcare organization registered as a mental health in Melbourne, Florida and active in the NPI registry since February 2020. The organization lists Dyeanna Fuller, Provider, as its authorized official.

NPPES Registry Identity

NPI1073147427
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameDYEANNA FULLER LLC
Location Address1600 W EAU GALLIE BLVD STE 201FMelbourne, FL 32935-4149
Mailing Address1600 W Eau Gallie Blvd Ste 201fMelbourne, FL 32935-4149
Phone(561) 740-5350
Organization SubpartNo
Authorized OfficialDyeanna FullerProvider · (561) 441-6466
Enumeration DateFebruary 25, 2020
✔ NPI 1073147427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1600 W EAU GALLIE BLVD STE 201F, Melbourne, FL 32935
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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

Other Providers at the Same Location NPPES

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

DYEANNA FULLER MH16249
Counselor (Mental Health)
1600 W EAU GALLIE BLVD STE 201F
MELBOURNE, FL 32935
Brevard County (561) 441-6466

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 Dyeanna Fuller LLC's NPI number?

The NPI number for Dyeanna Fuller LLC is 1073147427. It was assigned to this organization in the NPPES registry on February 25, 2020.

Where is Dyeanna Fuller LLC located?

Dyeanna Fuller LLC is located at 1600 W Eau Gallie Blvd Ste 201F, Melbourne, FL 32935. The listed phone number is (561) 740-5350.

What is Dyeanna Fuller LLC'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 Dyeanna Fuller LLC was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.