Full Potential Management, LLC

Primary specialty

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

Legal business name

FULL POTENTIAL MANAGEMENT, LLC

Practice address

121 Alhambra PLZ Ste 1100
Coral Gables, FL 33134-4522

Phone

(305) 476-5177

Fax

(305) 461-4999

NPI assigned

Mar 28, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Vicki Kroviak

Title

Director

Phone

(305) 476-5177

Specialties & licenses 2

Addresses

Other names 1

• Acorn Health Doing business as

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

{
    "created_epoch": "1522195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1912402256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 ALHAMBRA PLZ STE 1100",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344522",
            "telephone_number": "305-476-5177",
            "fax_number": "305-461-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 ALHAMBRA PLZ STE 1100",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331344522",
            "telephone_number": "305-476-5177",
            "fax_number": "305-461-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL POTENTIAL MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-28",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "KROVIAK",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "305-476-5177",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Acorn Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Javier Fuentes Silva
• Marlen Vanessa Fuentes
• Michell Fuentes, LCSW
• Noel Fuentes, RBT
• Celma Fujita
• Kim Fuller, PH.D.
• Markisha Fultz, BEHAVIOR TECHNICIAN
• Paige Elizabeth Funk
• Yohenia Furones Lobaina
• Furshman and Davis Chiropractic Centers Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Coral Gables, FL
• Providers in Coral Gables, 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 Mar 28, 2018; 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.