Andrew James Fultz, LCSW, LLC
Organization Active NPI Community/Behavioral Health Agency · Alexandria, LA
NPI 1225481237 · NPPES record last updated Jul 14, 2016
Key facts
- NPI
- 1225481237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- 11403 (LA)
- Legal business name
- ANDREW JAMES FULTZ, LCSW, LLC
- Practice address
- 5920 Coliseum Blvd
Alexandria, LA 71303-3714 - Phone
- (318) 443-9339
- Fax
- (318) 443-9116
- NPI assigned
- Jul 14, 2016
- Organization subpart
- No
Authorized official
- Name
- Mr. Andrew James Fultz, MSW, LCSW
- Title
- Owner
- Phone
- (318) 443-9339
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 11403 | LA | Yes |
Addresses
Primary practice location
5920 Coliseum Blvd
Alexandria, LA 71303-3714
Mailing address
5920 Coliseum Blvd
Alexandria, LA 71303-3714
Phone (318) 443-9339
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.