EMMETT FRAZER FULLER MA, LPC
NPI 1538257928
Counselor - Professional in Marietta, GA

Active since October 11, 2006
122 CHERRY ST NE, MARIETTA, GA 30060(770) 427-2911(770) 321-2479 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Emmett Frazer Fuller Ma, Lpc NPPES

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

EMMETT FRAZER FULLER MA, LPC (NPI 1538257928) is an individual professional provider in Marietta, Georgia, licensed in Georgia (001674) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1538257928
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameEMMETT FRAZER FULLERCredential: MA, LPC
Location Address122 CHERRY ST NEMarietta, GA 30060-7206
Mailing Address899 Burns Dr SeMarietta, GA 30067-7111 · (770) 321-3424 · Fax (770) 321-2479
Fax(770) 321-2479
Sole ProprietorYes
Enumeration DateOctober 11, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1538257928 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 GA · 001674
122 CHERRY ST NE, Marietta, GA 30060

Other Identifiers 1

Other11538751GA · Aetna Provider Number

Other Providers at the Same Location NPPES 10

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

Psychologist
122 CHERRY ST NE
MARIETTA, GA 30060
Social Worker (Clinical)
122 CHERRY ST NE
MARIETTA, GA 30060
Psychologist
122 CHERRY ST NE
MARIETTA, GA 30060
Social Worker (Clinical)
122 CHERRY ST NE
MARIETTA, GA 30060
Psychologist (Clinical)
122 CHERRY ST NE
MARIETTA, GA 30060
Counselor (Professional)
122 CHERRY ST NE
MARIETTA, GA 30060
Social Worker (Clinical)
122 CHERRY ST NE
MARIETTA, GA 30060
Psychologist
122 CHERRY ST NE
MARIETTA, GA 30060

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 Emmett Fuller's NPI number?

The NPI number for Emmett Fuller is 1538257928. It was assigned to this individual provider in the NPPES registry on October 11, 2006.

Where is Emmett Fuller located?

Emmett Fuller practices at 122 Cherry St NE, Marietta, GA 30060. The listed phone number is (770) 427-2911.

What is Emmett 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 Emmett Fuller was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.