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MALLORY FULLER M.A.
NPI 1346016698
Counselor - Mental Health in Jacksonville, FL

Active since November 28, 2023
4686 SUNBEAM RD, JACKSONVILLE, FL 32257(904) 302-5340 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mallory Fuller M.a. NPPES

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

MALLORY FULLER M.A. (NPI 1346016698) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH25058) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1346016698
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMALLORY FULLERCredential: M.A.
Location Address4686 SUNBEAM RDJacksonville, FL 32257-6189
Mailing Address4686 Sunbeam RdJacksonville, FL 32257-6189 · (904) 302-5340
Phone(904) 302-5340
Sole ProprietorNo
Enumeration DateNovember 28, 2023
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1346016698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH25058
4686 SUNBEAM RD, Jacksonville, FL 32257
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Other Providers at the Same Location NPPES 6

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

APRIL HALL CORNETT
Counselor (Mental Health)
4686 SUNBEAM RD
JACKSONVILLE, FL 32257
Duval County (904) 302-5340
MRS. JESSICA L ROLING MA
Counselor (Mental Health)
4686 SUNBEAM RD
JACKSONVILLE, FL 32257
Duval County (904) 302-5340
ADRIANA MICHELE SMITH MA, LMHC
Counselor (Mental Health)
4686 SUNBEAM RD
JACKSONVILLE, FL 32257
Duval County (904) 302-5340
MRS. IDA HOLEM MS
Counselor (Mental Health)
4686 SUNBEAM RD
JACKSONVILLE, FL 32257
Duval County (904) 302-5340
LAUREN KAY BRUMMITT LMHC
Counselor (Mental Health)
4686 SUNBEAM RD
JACKSONVILLE, FL 32257
Duval County (904) 302-5340
MRS. SARAH L. MERRIEX
Counselor (Mental Health)
4686 SUNBEAM RD
JACKSONVILLE, FL 32257
Duval County (904) 302-5340

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 Mallory Fuller's NPI number?

The NPI number for Mallory Fuller is 1346016698. It was assigned to this individual provider in the NPPES registry on November 28, 2023.

Where is Mallory Fuller located?

Mallory Fuller practices at 4686 Sunbeam Rd, Jacksonville, FL 32257. The listed phone number is (904) 302-5340.

What is Mallory 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 Mallory Fuller was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.