Fuller, Ebony

Fuller, Ebony is an sole proprietor health care provider with primary practice located at 52 Turnbury Dr , Bossier City LA 71111-8203. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Fuller, Ebony can be contacted via phone (318) 655-5720.

Contact Information

Primary practice address
52 Turnbury Dr Bossier City LA 71111-8203
Phone: (318) 655-5720
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1336519677
LBN Legal business name Fuller, Ebony
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 29th, 2015
Last updated Jul 29th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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