Full Life Counseling Service, PSC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0338 Issued in KY

Legal business name

FULL LIFE COUNSELING SERVICE, PSC

Practice address

1058 US 31W Byp
Bowling Green, KY 42101-2418

Phone

(270) 782-0677

Fax

(270) 782-1079

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mary Elizabeth Farmer, PH.D.NPI 1356468813

Title

Owner/President

Phone

(270) 782-0677

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Elizabeth Farmer, L.M.F.T., PH. D.

  • Marriage & Family Therapist
  • Bowling Green, KY
  • NPI 1356468813
  NPD (past) Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295821205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1058 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012418",
            "telephone_number": "270-782-0677",
            "fax_number": "270-782-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1058 US 31W BYP",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012418",
            "telephone_number": "270-782-0677",
            "fax_number": "270-782-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL LIFE COUNSELING SERVICE, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "270-782-0677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hailey Nicole Frits
• Connor Fritz, MD
• Christa M Frost
• Clara Frost
• Dylan Cody Fugate
• Fuller Life Health and Wellness
• Callie Brooke Fuller, MSW, CSW
• Kristina Fuller, LPCC
• Megan Fuller, PT, DPT
• Megan Rae Fults, M.S., BCBA

• Marriage & Family Therapist in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Marriage & Family Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.