| Forest Path Counseling & Wellness Lisa Fulfor Pllc | |
|
8105 Rasor Blvd Ste 225 Plano TX 75024-0265 | |
| (214) 316-0924 | |
| Not Available |
| Full Name | Forest Path Counseling & Wellness Lisa Fulfor Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 8105 Rasor Blvd Ste 225, Plano, Texas |
| Authorized Official Name and Position | Lisa Fulfor (OWNER) |
| Authorized Official Contact | 2143160924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Forest Path Counseling & Wellness Lisa Fulfor Pllc 13254 Lime Ridge Dr Frisco TX 75033-0938 Ph: (214) 316-0924 | Forest Path Counseling & Wellness Lisa Fulfor Pllc 8105 Rasor Blvd Ste 225 Plano TX 75024-0265 Ph: (214) 316-0924 |
| NPI Number | 1417414525 |
|---|---|
| Provider Enumeration Date | 02/25/2019 |
| Last Update Date | 04/24/2019 |
| Medicare PECOS PAC ID | 1951641109 |
|---|---|
| Medicare Enrollment ID | O20190326000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417414525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa Kim Fulfor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649747205 PECOS PAC ID: 6305186552 Enrollment ID: I20190326000500 |
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