Mary Alice Fulghum in Jacksonville - Marriage & Family Therapist
Mary Alice Fulghum - NPI 1831273275
Mary Alice Fulghum is a Marriage & Family Therapist in Jacksonville, Florida. Mary Alice Fulghum practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Mary Alice Fulghum is 1831273275. The last update date is 2012-05-21.
Mary Alice Fulghum's current location address is 11996 Lazarette Ct, Jacksonville, Florida. You can contact this provider via phone number 9047624040 and fax number 9042385078. The mailing address for Mary Alice Fulghum is 11996 Lazarette Ct, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Alice Fulghum |
|---|---|
| Address | 11996 Lazarette Ct, Jacksonville, Florida |
| Phone Number | 9047624040 |
| Fax Number | 9042385078 |
| Sole Proprietor | Y |
| Credentials | LMFT, L.P. |
NPI Number Detail
| NPI Number | 1831273275 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2012-05-21 |
Provider Mailing Address Detail
| Address | 11996 Lazarette Ct |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322581197 |
| Phone Number | 9047624040 |
| Fax Number | 9042385078 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MT 2553 |
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Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
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What is the unique identifier code issued to Mary Alice Fulghum by the Centers for Medicare & Medicaid Services?
The Mary Alice Fulghum has been assigned the NPI (National Provider Identifier) 1831273275. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mary Alice Fulghum is located?
The Mary Alice Fulghum is situated at the following address: 11996 Lazarette Ct, Jacksonville, FL, 322581197.
What is Mary Alice Fulghum's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mary Alice Fulghum's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1831273275 to Mary Alice Fulghum?
The Mary Alice Fulghum received its 1831273275 assignment from the Centers for Medicare & Medicaid Services on 2006-10-24.
As of what date were the Mary Alice Fulghum's details last updated?
The information pertaining to the Mary Alice Fulghum, including its address, specialty, and other details, was most recently updated on 2012-05-21.