| Mollie Fultz Counseling & Therapy Services Llc | |
|
883 Millbrae Ct Unit 6 West Palm Beach FL 33401-8467 | |
| (317) 509-6367 | |
| Not Available |
| Full Name | Mollie Fultz Counseling & Therapy Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 883 Millbrae Ct Unit 6, West Palm Beach, Florida |
| Authorized Official Name and Position | Mollie L Fultz (OWNER) |
| Authorized Official Contact | 3175096367 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mollie Fultz Counseling & Therapy Services Llc 883 Millbrae Ct Unit 6 West Palm Beach FL 33401-8467 Ph: (317) 509-6367 | Mollie Fultz Counseling & Therapy Services Llc 883 Millbrae Ct Unit 6 West Palm Beach FL 33401-8467 Ph: (317) 509-6367 |
| NPI Number | 1821844192 |
|---|---|
| Provider Enumeration Date | 04/27/2024 |
| Last Update Date | 04/27/2024 |
| Certification Date | 04/27/2024 |
| Medicare PECOS PAC ID | 8022553593 |
|---|---|
| Medicare Enrollment ID | O20241007002358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821844192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mollie L Fultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1609415058 PECOS PAC ID: 9931644408 Enrollment ID: I20241007002563 |
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