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LISA FULLER
NPI 1285458315
Counselor in Jacksonville, FL

Active since November 14, 2024
1904 FARRAGUT PL, JACKSONVILLE, FL 32207(904) 868-0994 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Fuller NPPES

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

LISA FULLER (NPI 1285458315) is an individual counselor in Jacksonville, Florida and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1285458315
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLISA FULLER
Location Address1904 FARRAGUT PLJacksonville, FL 32207-3420
Mailing Address2534 Victoria Point DrJacksonville, FL 32218-8828 · (904) 868-0994
Phone(904) 868-0994
Sole ProprietorYes
Enumeration DateNovember 14, 2024
NPPES CertifiedNovember 14, 2024
✔ NPI 1285458315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1904 FARRAGUT PL, Jacksonville, FL 32207
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Other Providers at the Same Location NPPES 20

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

MR. BRETT LEE SPRUILL II
Behavior Analyst
1904 FARRAGUT PL
JACKSONVILLE, FL 32207
Duval County (904) 401-9320
EMERITA M STONE
Counselor (Mental Health)
1904 FARRAGUT PL
JACKSONVILLE, FL 32207
Duval County (904) 503-0131
BRANDON DWYER RBT
Behavior Analyst
1904 FARRAGUT PL
JACKSONVILLE, FL 32207
Duval County (917) 803-2843
ELISA MILLER
Counselor
1904 FARRAGUT PL
JACKSONVILLE, FL 32207
Duval County (904) 503-0131
LEILANI MARIE DULLAS
Behavior Technician
1904 FARRAGUT PL
JACKSONVILLE, FL 32207
Duval County (904) 503-0131
VICTORIA LOVELACE
Behavior Analyst
1904 FARRAGUT PL
JACKSONVILLE, FL 32207
Duval County (904) 503-1031
DR. JOANNA LEA ALE LMHC, CIC
Behavior Analyst
1904 FARRAGUT PL
JACKSONVILLE, FL 32207
Duval County (904) 503-0131
ALEXUS RENE' COLEMAN
Behavior Technician
1904 FARRAGUT PL
JACKSONVILLE, FL 32207
Duval County (904) 625-3860

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 Lisa Fuller's NPI number?

The NPI number for Lisa Fuller is 1285458315. It was assigned to this individual provider in the NPPES registry on November 14, 2024.

Where is Lisa Fuller located?

Lisa Fuller practices at 1904 Farragut Pl, Jacksonville, FL 32207. The listed phone number is (904) 868-0994.

What is Lisa Fuller's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Lisa Fuller was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.