| Fuller Life Counseling | |
|
5966 Scottsville Rd Bowling Green KY 42104-0387 | |
| (270) 791-8189 | |
| Not Available |
| Full Name | Fuller Life Counseling |
|---|---|
| Speciality | Counselor |
| Location | 5966 Scottsville Rd, Bowling Green, Kentucky |
| Authorized Official Name and Position | Kristina Watt Fuller (OWNER) |
| Authorized Official Contact | 2707918189 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuller Life Counseling 431 Claypool Boyce Rd Alvaton KY 42122-8732 Ph: (270) 791-8189 | Fuller Life Counseling 5966 Scottsville Rd Bowling Green KY 42104-0387 Ph: (270) 791-8189 |
| NPI Number | 1679127781 |
|---|---|
| Provider Enumeration Date | 07/26/2019 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Medicare PECOS PAC ID | 6901291756 |
|---|---|
| Medicare Enrollment ID | O20220315001314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679127781 | NPI | - | NPPES |
| 710028700 | Medicaid | KY |
| Provider Name | Donna J Goodman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831557578 PECOS PAC ID: 8820387665 Enrollment ID: I20160517002160 |
| Provider Name | Adrienne Lynn Brown Tinch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487143418 PECOS PAC ID: 0143579292 Enrollment ID: I20180822002046 |
| Provider Name | Whitney Mariah Rizzo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619594751 PECOS PAC ID: 1052722295 Enrollment ID: I20201119002035 |
| Provider Name | Leisia K Landers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720493810 PECOS PAC ID: 6406249986 Enrollment ID: I20220204000857 |
| Provider Name | Antoinette A Tharrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447920624 PECOS PAC ID: 5698664803 Enrollment ID: I20230310001864 |
| Provider Name | Jeffrey P Rampton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144944984 PECOS PAC ID: 1355715327 Enrollment ID: I20230315001637 |
| Provider Name | Kyra V Tuley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972197432 PECOS PAC ID: 8527416288 Enrollment ID: I20231120001015 |
| Provider Name | Alexandria Gentile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992247209 PECOS PAC ID: 0446608822 Enrollment ID: I20231122003096 |
| Provider Name | Cassie P London |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497451991 PECOS PAC ID: 7214387752 Enrollment ID: I20231227000413 |
| Provider Name | Tiffany L Secula |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518669605 PECOS PAC ID: 6406206580 Enrollment ID: I20240102002807 |
| Provider Name | Kuwana K Robbins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871173237 PECOS PAC ID: 0244681419 Enrollment ID: I20240111004619 |
| Provider Name | Kristina Fuller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700202272 PECOS PAC ID: 6608261771 Enrollment ID: I20240118002042 |
| Provider Name | Nathan Laramore |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891153300 PECOS PAC ID: 3476905191 Enrollment ID: I20240118002189 |
| Provider Name | Pamela Mcpeak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225801566 PECOS PAC ID: 3274985916 Enrollment ID: I20240118002920 |
| Provider Name | Yekaterina Meredith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396142238 PECOS PAC ID: 7911359559 Enrollment ID: I20240118003210 |
| Provider Name | Alexis Mcelwain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457826992 PECOS PAC ID: 2961855929 Enrollment ID: I20240126000839 |
| Provider Name | Jessica Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982257358 PECOS PAC ID: 6709229487 Enrollment ID: I20240209001145 |
| Provider Name | Christina Bailey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730764432 PECOS PAC ID: 4789027467 Enrollment ID: I20240209001210 |
| Provider Name | Elizabeth Arnett |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1932801073 PECOS PAC ID: 9436594371 Enrollment ID: I20240229004094 |
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