Full Life Counseling, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2943 Issued in NC

Legal business name

FULL LIFE COUNSELING, PLLC

Practice address

1066 W 4TH St
Suite 201
Winston Salem, NC 27101-2434

Phone

(336) 923-7426

Fax

(704) 625-3617

NPI assigned

Sep 2, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Virginia H Mills, LPC, LCAS

Title

President

Phone

(336) 923-7426

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1251849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370476800000",
    "number": "1861625162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1066 W 4TH ST",
            "address_2": "SUITE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012434",
            "telephone_number": "336-923-7426",
            "fax_number": "704-625-3617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1066 W 4TH ST",
            "address_2": "SUITE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271012434",
            "telephone_number": "336-923-7426",
            "fax_number": "704-625-3617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL LIFE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-02",
        "last_updated": "2013-06-06",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-923-7426",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "2943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1639334022",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1467603704",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Fulcher
• Desneighe Fulgham
• Chrisa Fulcher Fulk, PHARM D
• Whitney Roberts Fulk, FNP
• Full Circle Wellness and Psychotherapy, PLLC
• Lynn Fullenkamp
• Emily West Fuller, NP-C
• Marsha Fuller, PHARMD
• Perla Jamilette Fuller, MSW, LCSW
• Stanley Brian Fuller, M.D.

• Community/Behavioral Health Agency in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2013; 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.