Organization Active NPI

Full Destiny Counseling, LLC

  • Mental Health Counselor
  • Warner Robins, GA
National Provider Identifier
1336039858
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FULL DESTINY COUNSELING, LLC
Practice address
101 Katelyn Cir Ste C
Warner Robins, GA 31088-6484
Phone
(678) 664-8742
Fax
(844) 853-5737
NPI assigned
Jul 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Authorized official

Name
Heather W PruntyNPI 1881028215
Title
LPC/ Owner
Phone
(478) 919-8904

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

101 Katelyn Cir Ste C
Warner Robins, GA 31088-6484

Mailing address

719 Broderick Cir
Warner Robins, GA 31088-2415
Phone (478) 919-8904

Other names 1

  • Heather W Prunty Doing business as

National Provider Directory

National Provider Directory

Locations

101 Katelyn Cir
Ste C
Warner Robins, GA 31088
Phone (678) 664-8742

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751846400000",
    "number": "1336039858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 BRODERICK CIR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882415",
            "telephone_number": "478-919-8904",
            "fax_number": "844-853-5737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 KATELYN CIR STE C",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310886484",
            "telephone_number": "678-664-8742",
            "fax_number": "844-853-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL DESTINY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A",
        "authorized_official_last_name": "PRUNTY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "LPC/ OWNER",
        "authorized_official_telephone_number": "478-919-8904"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heather W Prunty",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.