Laurina D Fullam, LADC, LCMHC
Counselor, Addiction (Substance Use Disorder) in Delray Beach, Florida
1952712002- Practice location
- 3333 S Congress Ave, Delray Beach, FL 33445-7308
- Phone
- 844-309-9543
- Fax
- —
- Last updated
- November 3, 2023
Laurina D Fullam is a Counselor, Addiction (Substance Use Disorder) based in Delray Beach, FL. Laurina D Fullam practices in Delray Beach, FL and has the professional credentials of LADC, LCMHC. The NPI Number for Laurina D Fullam is 1952712002 and holds a License No. 000625 (VT). The current practice location address for Laurina D Fullam is 3333 S Congress Ave, Delray Beach, FL 33445-7308 and can be reached out via phone at 844-309-9543.
Provider Profile Details
- NPI Number
- 1952712002
- Provider Name
- Laurina D Fullam
- Credential
- LADC, LCMHC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 3333 S Congress Ave, Delray Beach, FL 33445-7308
- Phone Number
- 844-309-9543
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 12, 2014
- Last Update Date
- November 3, 2023
- Certification Date
- November 3, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3333 S Congress Ave
Delray Beach, FL 33445-7308 - City
- Delray Beach
- State
- Florida
- Zip
- 33445-7308
- Phone Number
- 844-309-9543
Provider Business Mailing Address Details
- Address
- Po Box G
Randolph, VT 05060-0167 - City
- Randolph
- State
- VT
- Zip
- 05060-0167
License Information
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 000625
- License State (2)
- VT
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Laurina D Fullam, LADC, LCMHC?
The NPI number of Laurina D Fullam, LADC, LCMHC is 1952712002. It was assigned on May 12, 2014 and is currently active in the NPPES registry.
What is the specialty of Laurina D Fullam, LADC, LCMHC?
Laurina D Fullam, LADC, LCMHC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in VT under license number 000625.
Where does Laurina D Fullam, LADC, LCMHC practice?
The practice location is 3333 S Congress Ave, Delray Beach, FL 33445-7308. The office can be reached at 844-309-9543 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952712002 directly on the NPPES registry website.