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EBONY FULLER
NPI 1336519677
Case Manager/Care Coordinator in Bossier City, LA

Active since September 29, 2015
52 TURNBURY DR, BOSSIER CITY, LA 71111(318) 655-5720 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2019, Sep 29, 2015 (2 updates tracked since 2015).

About Ebony Fuller NPPES

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

EBONY FULLER (NPI 1336519677) is an individual case manager/care coordinator provider in Bossier City, Louisiana and active in the NPI registry since September 2015.

NPPES Registry Identity

NPI1336519677
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameEBONY FULLER
Location Address52 TURNBURY DRBossier City, LA 71111-8203
Mailing Address52 Turnbury DrBossier City, LA 71111-8203
Phone(318) 655-5720
Sole ProprietorYes
Enumeration DateSeptember 29, 2015
Last NPPES UpdateJuly 29, 20192 updates tracked since enumeration
✔ NPI 1336519677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
52 TURNBURY DR, Bossier City, LA 71111
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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.

DENYA PATRICE RICKS
Counselor (Mental Health)
52 TURNBURY DR
BOSSIER CITY, LA 71111
Bossier Parish (832) 708-6208
KOREY FULLER
Counselor (Mental Health)
52 TURNBURY DR
BOSSIER CITY, LA 71111
Bossier Parish (318) 834-6048

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 Ebony Fuller's NPI number?

The NPI number for Ebony Fuller is 1336519677. It was assigned to this individual provider in the NPPES registry on September 29, 2015.

Where is Ebony Fuller located?

Ebony Fuller practices at 52 Turnbury Dr, Bossier City, LA 71111. The listed phone number is (318) 655-5720.

What is Ebony Fuller's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Ebony Fuller was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.