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ILEA FULLER LPC, CAADC
NPI 1467988170
Counselor - Addiction (Substance Use Disorder) in Hancock, MI

Active since May 02, 2017
540 DEPOT ST, HANCOCK, MI 49930(906) 482-7282 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 9, 2024, Aug 15, 2022, Mar 9, 2022 and 2 more (5 updates tracked since 2019).

About Ilea Fuller Lpc, Caadc NPPES

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

ILEA FULLER LPC, CAADC (NPI 1467988170) is an individual addiction (substance use disorder) provider in Hancock, Michigan, licensed in Michigan (C-03721) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1467988170
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameILEA FULLERCredential: LPC, CAADC
Location Address540 DEPOT STHancock, MI 49930-2031
Mailing Address25901 E Pine StCalumet, MI 49913-1257 · (906) 369-3949
Phone(906) 482-7282
Sole ProprietorNo
Enumeration DateMay 2, 2017
Last NPPES UpdateApril 9, 20245 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1467988170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MI · C-03721
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 6401019086 (MI)
540 DEPOT ST, Hancock, MI 49930
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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.

SUSAN KAUPPI CHW
Community Health Worker
540 DEPOT ST
HANCOCK, MI 49930
Houghton County (906) 482-7382
ASPIRUS SUPERIOR HOME HEALTH AND HOSPICE INC
Home Health
540 DEPOT ST
HANCOCK, MI 49930
Houghton County (906) 482-7382
COUNTY OF HOUGHTON DBA WESTERN UP HEALTH DEPARTMENT
Clinic/Center (Public Health, State or Local)
540 DEPOT ST
HANCOCK, MI 49930
Houghton County (906) 482-7382
MR. EDWARD GUY FURST LPC, LMFT
Counselor (Professional)
540 DEPOT ST
HANCOCK, MI 49930
Houghton County (903) 870-0963
MS. SUSAN MARGARET MALLOW OTR
Occupational Therapist
540 DEPOT ST
HANCOCK, MI 49930
Houghton County (906) 482-7382
COUNTY OF HOUGHTON
Clinic/Center (Family Planning, Non-Surgical)
540 DEPOT ST
HANCOCK, MI 49930
Houghton County (906) 482-7382
COUNTY OF HOUGHTON
Counselor (Addiction (Substance Use Disorder))
540 DEPOT ST
HANCOCK, MI 49930
Houghton County (906) 482-7382
SUSAN NARA LUTZ P.T.
Physical Therapist
540 DEPOT ST
HANCOCK, MI 49930
Houghton County (906) 482-7382

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 Ilea Fuller's NPI number?

The NPI number for Ilea Fuller is 1467988170. It was assigned to this individual provider in the NPPES registry on May 2, 2017.

Where is Ilea Fuller located?

Ilea Fuller practices at 540 Depot St, Hancock, MI 49930. The listed phone number is (906) 482-7282.

What is Ilea Fuller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ilea Fuller was last updated on April 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.