MADELINE NOEL FULTS CIT
NPI 1962896217
Counselor - Addiction (Substance Use Disorder) in Pine Bluff, AR

Q: What is Madeline Fults's NPI number?

The NPI number for Madeline Fults is 1962896217. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Q: What is Madeline Fults's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madeline Fults was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since March 25, 2015

2304 W 29TH AVE, SUITE 1, PINE BLUFF, AR 71603(870) 247-5222(870) 671-4847 Get Directions Write a Review

NPPES record last updated: March 25, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Madeline Noel Fults Cit NPPES

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

MADELINE NOEL FULTS CIT (NPI 1962896217) is an individual addiction (substance use disorder) provider in Pine Bluff, Arkansas and active in the NPI registry since March 2015.

NPPES Registry Identity

NPI1962896217

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMADELINE NOEL FULTSCredential: CIT

Location Address2304 W 29TH AVE, SUITE 1Pine Bluff, AR 71603-5005

Mailing AddressPo Box 21203White Hall, AR 71612-1203 · (870) 247-5222 · Fax (870) 671-4847

Phone(870) 247-5222

Fax(870) 671-4847

Sole ProprietorNo

Enumeration DateMarch 25, 2015

✔ NPI 1962896217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

2304 W 29TH AVE, Pine Bluff, AR 71603

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Other Identifiers 1

Medicaid206621740AR

Other Providers at the Same Location NPPES 5

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

JEFFERSON COMPREHENSIVE COUNSELING ASSOCIATES

Clinic/Center (Rehabilitation, Substance Use Disorder)

2304 W 29TH AVE
PINE BLUFF, AR 71603

Jefferson County (870) 247-5222

MR. SCOTT AARON MABRY CADC, CCS

Counselor (Addiction (Substance Use Disorder))

2304 W 29TH AVE
PINE BLUFF, AR 71603

Jefferson County (870) 247-5222

MED79

Family Medicine

2304 W 29TH AVE
PINE BLUFF, AR 71603

Jefferson County (501) 804-5628

ROGER CAMERON ACADC, CCS

Counselor (Addiction (Substance Use Disorder))

2304 W 29TH AVE, SUITE 1
PINE BLUFF, AR 71603

Jefferson County (870) 247-5222

KAREN MARIE APPLEGET LPC

Counselor (Mental Health)

2304 W 29TH AVE
PINE BLUFF, AR 71603

Jefferson County (870) 247-5222

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 Madeline Fults's NPI number?

The NPI number for Madeline Fults is 1962896217. It was assigned to this individual provider in the NPPES registry on March 25, 2015.

Where is Madeline Fults located?

Madeline Fults practices at 2304 W 29th Ave Suite 1, Pine Bluff, AR 71603. The listed phone number is (870) 247-5222.

What is Madeline Fults'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 Madeline Fults was last updated on March 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.