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FULLER LIFE INSTITUTE NPI 1316203029


NPI Information

NPI: 1316203029
Provider Name: FULLER LIFE INSTITUTE

Doing Business As: FULLER LIFE FAMILY THERAPY INSITUTE

Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
4545 BISSONNET ST STE 289
BELLAIRE, TX
ZIP 77401
Phone: (855) 245-5433
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FULLER LIFE INSTITUTE is a marriage family therapist in Bellaire, TX. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. FULLER LIFE INSTITUTE NPI is 1316203029. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fuller Life Family Therapy Insitute.

The provider's business location address is:

4545 BISSONNET ST STE 289
BELLAIRE, TX
ZIP 77401-112
Phone: (855) 245-5433
Fax: (855) 245-5433

The provider's authorized official is Amy Fuller .
The authorized official title is Clinical Director and has the following contact phone number (855) 245-5433.

The enumeration date for this NPI number is 4/6/2012 and was last updated on 4/6/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1106H00000XMarriage & Family Therapist201031TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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