MRS. NATASHA LACHINE FULLER MBA, QMHP-CS, PSS
NPI 1720844939
Peer Specialist in Dallas, TX

Active since February 26, 2024
3008 ROSS AVE STE 100, DALLAS, TX 75204(682) 277-9994 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 27, 2025, Sep 30, 2024 (2 updates tracked since 2024).

About Mrs. Natasha Lachine Fuller Mba, Qmhp-cs, Pss NPPES

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

MRS. NATASHA LACHINE FULLER MBA, QMHP-CS, PSS (NPI 1720844939) is an individual peer specialist in Dallas, Texas, licensed in Texas (1376-0924) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1720844939
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMRS. NATASHA LACHINE FULLERCredential: MBA, QMHP-CS, PSS
Location Address3008 ROSS AVE STE 100Dallas, TX 75204-5519
Mailing Address5900 Balcones Dr Ste 100Austin, TX 78731-4298 · (682) 277-9994
Sole ProprietorYes
Enumeration DateFebruary 26, 2024
Last NPPES UpdateApril 14, 20252 updates tracked since enumeration
NPPES CertifiedApril 14, 2025
NPI 1720844939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in TX · 1376-0924
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
3008 ROSS AVE STE 100, Dallas, TX 75204

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

General Practice
3008 ROSS AVE STE 100
DALLAS, TX 75204

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 Natasha Fuller's NPI number?

The NPI number for Natasha Fuller is 1720844939. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Where is Natasha Fuller located?

Natasha Fuller practices at 3008 Ross Ave Ste 100, Dallas, TX 75204. The listed phone number is (682) 277-9994.

What is Natasha Fuller's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Natasha Fuller was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.