Jessica Landry Fultz, LCSW, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

11307 Issued in LA

Legal business name

JESSICA LANDRY FULTZ, LCSW, LLC

Practice address

221 N Monroe St
Suite B
Marksville, LA 71351-2311

Phone

(318) 305-9210

NPI assigned

Oct 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jessica Landry Fultz, LCSW

Title

LCSW

Phone

(318) 305-9210

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1134522253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 65",
            "city": "HESSMER",
            "state": "LA",
            "postal_code": "713410065",
            "telephone_number": "318-305-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N MONROE ST",
            "address_2": "SUITE B",
            "city": "MARKSVILLE",
            "state": "LA",
            "postal_code": "713512311",
            "telephone_number": "318-305-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA LANDRY FULTZ, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "FULTZ",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "LANDRY",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "318-305-9210",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "11307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohamad Isa
• Marie Jacobs
• Melanie James, BCBA, LBA
• Monica James, OT
• Laney Jeansonne
• Paulesha C Johnson
• Trinitee Johnson
• Dustin M Joiner, RAC
• Lisa E Jones, P.T.
• Syril Juneau

• Community/Behavioral Health Agency in Marksville, LA
• Providers in Marksville, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.