Fulfilling Endeavors Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FULFILLING ENDEAVORS INCORPORATED

Practice address

4927 Southfork Dr
Lakeland, FL 33813-2043

Phone

(863) 644-5433

NPI assigned

Jun 13, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Nathan Christopher Bell, MA, LMHC

Title

President

Phone

(863) 644-5433

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1205495108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4927 SOUTHFORK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132043",
            "telephone_number": "863-644-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4927 SOUTHFORK DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132043",
            "telephone_number": "863-644-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULFILLING ENDEAVORS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "863-644-5433",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "FulfillingEndeavors.org",
            "affiliation": "N",
            "endpointDescription": "Our website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Our website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Our website",
            "address_1": "4927 Southfork Dr",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338132043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Stephanie Fullerton, DPT
• Melissa Fulton, LMHC
• Kenneth Webster Fuqua Sr., RPH;CPH

• Community/Behavioral Health Agency in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.