Fuller Theological Seminary

LBN: Fuller Theological Seminary
Fuller Theological Seminary is an health care organization with primary practice located at 1110 E Missouri Ave Ste 850 , Phoenix AZ 85014-2733. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Health Service, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is the primary health care specialty. Fuller Theological Seminary can be contacted via phone (602) 613-1725, or through Cosse, Ted via phone (818) 939-3280.

Contact Information

Primary practice address
1110 E Missouri Ave Ste 850 Phoenix AZ 85014-2733
Phone: (602) 613-1725
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cosse, Ted PSYD
Phone: (818) 939-3280

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X

Profile Details

NPI number 1831979087
LBN Legal business name Fuller Theological Seminary
DBA Doing business as
Authorized official Cosse, Ted PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2023
Last updated Oct 4th, 2023 - about 2 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.

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