Organization Active NPI

Mollie Fultz Counseling & Therapy Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Palm Beach, FL
National Provider Identifier
1821844192
Registry record updated Apr 27, 2024
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2024

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

Authorized official

Name
Mollie L Fultz, LMHC
Title
Owner
Phone
(317) 509-6367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

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

Mailing address

883 Millbrae CT Unit 6
West Palm Beach, FL 33401-8467
Phone (317) 509-6367

National Provider Directory

National Provider Directory

NPI Registry JSON

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": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • 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.