MRS. KELLY SUE FULLER L.P.C.
NPI 1871614115
Counselor - Professional in Chesapeake, VA

Active since April 03, 2007
1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320(757) 419-1726 Get Directions Write a Review

NPPES record last updated: April 22, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Kelly Sue Fuller L.p.c. NPPES

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

MRS. KELLY SUE FULLER L.P.C. (NPI 1871614115) is an individual professional provider in Chesapeake, Virginia, licensed in Virginia (0701003292) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1871614115
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. KELLY SUE FULLERCredential: L.P.C.
Location Address1545 CROSSWAYS BLVD STE 250Chesapeake, VA 23320-0218
Mailing Address310 Flax Mill WayChesapeake, VA 23322-5893 · (757) 419-1726 · Fax (757) 419-1726
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateApril 22, 2024
NPPES CertifiedApril 22, 2024
NPI 1871614115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses Licensed in VA · 0701003292 Licensed in NC · 4184
1545 CROSSWAYS BLVD STE 250, Chesapeake, VA 23320

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.

Behavior Technician
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Behavior Technician
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Behavior Technician
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Counselor (Professional)
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Home Health
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Behavior Technician
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Behavior Technician
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320
Social Worker (Clinical)
1545 CROSSWAYS BLVD STE 250
CHESAPEAKE, VA 23320

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 Kelly Fuller's NPI number?

The NPI number for Kelly Fuller is 1871614115. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Kelly Fuller located?

Kelly Fuller practices at 1545 Crossways Blvd Ste 250, Chesapeake, VA 23320. The listed phone number is (757) 419-1726.

What is Kelly 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 Kelly Fuller was last updated on April 22, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.