Mollie Fultz Counseling & Therapy Services LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MOLLIE FULTZ COUNSELING & THERAPY SERVICES LLC

Practice address

883 Millbrae CT Unit 6
West Palm Beach, FL 33401-8467

Phone

(317) 509-6367

NPI assigned

Apr 27, 2024

Last updated

Apr 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mollie L Fultz, LMHCNPI 1609415058

Title

Owner

Phone

(317) 509-6367

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mollie L Fultz

  • Mental Health Counselor
  • West Palm Beach, FL
  • NPI 1609415058
  Authorized official Same address or phone

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

{
    "created_epoch": "1714176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714176000000",
    "number": "1821844192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 MILLBRAE CT UNIT 6",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334018467",
            "telephone_number": "317-509-6367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 MILLBRAE CT UNIT 6",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334018467",
            "telephone_number": "317-509-6367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLLIE FULTZ COUNSELING & THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-27",
        "last_updated": "2024-04-27",
        "certification_date": "2024-04-27",
        "status": "A",
        "authorized_official_last_name": "FULTZ",
        "authorized_official_first_name": "MOLLIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-509-6367",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliette Molina, LMHC
• Natasha A Molina, FNP-BC
• Raul Molina, D.O. M.S.
• Victor M Molina, MD
• Kelly Moll
• Myrthil Dit Jimmy Mompremier, P.A
• Momzlife Services
• Cristina Monaco, PA
• Monarch Behavior Analysis, LLC
• Monarch Health Services, Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2024; 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.