| Yakeia Fullenwinder, | |
|
269 S Church St, Spartanburg, SC 29306-3496 | |
| (864) 680-9189 | |
| Not Available |
| Full Name | Yakeia Fullenwinder |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 269 S Church St, Spartanburg, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619218914 | NPI | - | NPPES |
| GP8165 | Medicaid | SC | |
| GP8157 | Medicaid | SC | |
| PC1880 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6693 (South Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Yakeia Fullenwinder, 319 Lockport Way, Spartanburg, SC 29301-5971 Ph: (864) 680-9189 | Yakeia Fullenwinder, 269 S Church St, Spartanburg, SC 29306-3496 Ph: (864) 680-9189 |
Mr. Edmund Jackson Scott Jr., LMFT-I, CAC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 W Broad St Ste 200, Spartanburg, SC 29306 Phone: 864-707-2801 | |
Mrs. Katrina Hope Hereford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 | |
Candace Soddu Quinn, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Dillon Drive, Spartanburg, SC 29307 Phone: 864-582-7588 Fax: 864-562-4117 | |
Mark R. Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 E Saint John St, Spartanburg, SC 29302 Phone: 864-707-1953 | |
Mrs. Beverly B Shelton, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 W Broad St, Spartanburg, SC 29306 Phone: 864-582-7588 Fax: 864-582-0431 | |
James Alva Young Jr., MA, CACP Counselor Medicare: Not Enrolled in Medicare Practice Location: 187 W Broad St, Spartanburg, SC 29306 Phone: 864-582-7588 Fax: 864-582-0431 | |
Tomondra Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Dewey Ave, Spartanburg, SC 29303 Phone: 864-585-0366 |