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FULFILLING LIFE PLLC
NPI 1922796408
Specialist in Edwardsville, IL

Active since April 24, 2023
3 CLUB CENTRE CT STE B1, EDWARDSVILLE, IL 62025(618) 699-4402(618) 590-8199 Get Directions Write a Review

NPPES record last updated: April 24, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Fulfilling Life Pllc NPPES

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

FULFILLING LIFE PLLC (NPI 1922796408) is a healthcare organization registered as a specialist in Edwardsville, Illinois and active in the NPI registry since April 2023. The organization lists Di'ara Woods, Ceo, as its authorized official.

NPPES Registry Identity

NPI1922796408
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameFULFILLING LIFE PLLC
Location Address3 CLUB CENTRE CT STE B1Edwardsville, IL 62025-3519
Mailing Address403 Glen Carbon RdGlen Carbon, IL 62034-2965 · (314) 749-8906
Phone(618) 699-4402
Fax(618) 590-8199
Organization SubpartNo
Authorized OfficialDi'ara WoodsCeo · (314) 749-8906
Enumeration DateApril 24, 2023
NPPES CertifiedApril 24, 2023
✔ NPI 1922796408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedFamily MedicineTaxonomy 207Q00000X
3 CLUB CENTRE CT STE B1, Edwardsville, IL 62025
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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.

DI'ARA WOODS PA-C
Physician Assistant
3 CLUB CENTRE CT STE B1
EDWARDSVILLE, IL 62025
Madison County (618) 699-4402

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 Fulfilling Life PLLC's NPI number?

The NPI number for Fulfilling Life PLLC is 1922796408. It was assigned to this organization in the NPPES registry on April 24, 2023.

Where is Fulfilling Life PLLC located?

Fulfilling Life PLLC is located at 3 Club Centre Ct Ste B1, Edwardsville, IL 62025. The listed phone number is (618) 699-4402.

What is Fulfilling Life PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Fulfilling Life PLLC was last updated on April 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.