BRIDGET FULLER
NPI 1114378254
Counselor - Mental Health in Detroit, MI
About Bridget Fuller NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRIDGET FULLER (NPI 1114378254) is an individual mental health provider in Detroit, Michigan and active in the NPI registry since June 2016.
NPPES Registry Identity
Specialties & Licenses
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 Bridget Fuller's NPI number?
The NPI number for Bridget Fuller is 1114378254. It was assigned to this individual provider in the NPPES registry on June 30, 2016.
Where is Bridget Fuller located?
Bridget Fuller practices at 14041 San Juan Dr, Detroit, MI 48238. The listed phone number is (313) 919-3205.
What is Bridget Fuller'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 Bridget Fuller was last updated on June 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Bridget Fuller · NPI 1114378254
Mental Health provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since June 30, 2016.
## Identity
- **NPI:** 1114378254 (Entity type: Individual)
- **Enumerated:** June 30, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 14041 SAN JUAN DR, Detroit, MI 48238-2538
- **Phone:** (313) 919-3205
## Record status
- **NPPES last updated:** June 30, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1114378254) · Data from the CMS NPPES public registry.