Fulfilled Life Counseling, Llc
LBN: Fulfilled Life Counseling, Llc
Fulfilled Life Counseling, Llc is an health care organization with primary practice located at 1218 Stone St Ste 204 , Jonesboro AR 72401-4568. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Fulfilled Life Counseling, Llc can be contacted via phone (901) 501-6091, or through Glover, Leonardo Patrick via phone (870) 718-6199.
Contact Information
Primary practice address
1218 Stone St Ste 204
Jonesboro AR 72401-4568
Phone: (901) 501-6091
Fax: (870) 466-4982
Website:
Authorized official contact:
Name: Glover, Leonardo Patrick Licensed Professional Counselor (LPC)
Phone: (870) 718-6199
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1932762754 |
|---|---|
| LBN Legal business name | Fulfilled Life Counseling, Llc |
| DBA Doing business as | |
| Authorized official | Glover, Leonardo Patrick Licensed Professional Counselor (LPC) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2019 |
| Last updated | Apr 17th, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932762754 | NPPES |
| Arkansas | Other | 1093088031 | QUALCHOICE |
| Arkansas | Other | 1093088031 | QUALCHOICE |
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