TANEKA M FULLER LPC
NPI 1306289970
Counselor - Professional in Shreveport, LA

Active since April 12, 2013
1406 HAWN AVE, SHREVEPORT, LA 71107(318) 675-0224(318) 675-0226 Get Directions Write a Review

NPPES record last updated: April 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Taneka M Fuller Lpc NPPES

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

TANEKA M FULLER LPC (NPI 1306289970) is an individual professional provider in Shreveport, Louisiana, licensed in Louisiana (4867) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1306289970
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameTANEKA M FULLERCredential: LPC
Location Address1406 HAWN AVEShreveport, LA 71107-6532
Mailing AddressPo Box 78776Shreveport, LA 71137-8776 · (318) 675-0224 · Fax (318) 675-0226
Fax(318) 675-0226
Sole ProprietorNo
Enumeration DateApril 12, 2013
NPI 1306289970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in LA · 4867
1406 HAWN AVE, Shreveport, LA 71107

Other Providers at the Same Location NPPES 2

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

Counselor (Professional)
1406 HAWN AVE
SHREVEPORT, LA 71107
Counselor (School)
1406 HAWN AVE
SHREVEPORT, LA 71107

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 Taneka Fuller's NPI number?

The NPI number for Taneka Fuller is 1306289970. It was assigned to this individual provider in the NPPES registry on April 12, 2013.

Where is Taneka Fuller located?

Taneka Fuller practices at 1406 Hawn Ave, Shreveport, LA 71107. The listed phone number is (318) 675-0224.

What is Taneka Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Taneka Fuller was last updated on April 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.