SAVANNAH FULFORD (NPI# 1386294478) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386294478 |
| Entity Type | Individual |
| Full Name | SAVANNAH FULFORD |
| Credential | LMHC |
| Practice Address |
900 Se Ocean Blvd Ste D232 Stuart FL 34994-3501 |
| Mailing Address |
3094 Ne Highland Ave Jensen Beach FL 34957-7240 |
| Practice Telephone | 7726780271 |
| Mailing Telephone | 8632212370 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH16494 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1802 Ne Jensen Beach Blvd, Jensen Beach, FL 349577234 | 8779781208 |
| Street Address |
900 SE OCEAN BLVD STE D232 |
| City | STUART |
| State | FL |
| Zip Code | 34994-3501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497165591 | Karen Moore | Social Worker | 900 Se Ocean Blvd Ste D232, Stuart, FL 34994-3501 | 2014-04-29 |
| 1386269603 | Karen Moore, Lcsw | Clinic/Center | 900 Se Ocean Blvd Ste D232, Stuart, FL 34994-3501 | 2020-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720627706 | Sydney Reese | Counselor | 5953 Sw Gaines Ave, Stuart, FL 34997-7460 | 2019-12-23 |
| 1144874389 | Elizabeth Ely Curet | Counselor | 2440 Se Federal Hwy, Ste. T, Stuart, FL 34994-7744 | 2019-07-25 |
| 1740841873 | Landa Starling | Counselor | 2440 Se Federal Hwy Ste L, Stuart, FL 34994-4531 | 2019-06-28 |
| 1184282824 | Jamie Gonzalez | Counselor | 50 Ne Dixie Hwy, Stuart, FL 34994-1872 | 2019-05-29 |
| 1598320293 | Leana Brown | Counselor | 1300 Se 10th St Ste D, Stuart, FL 34996-4110 | 2019-05-08 |
| 1275198954 | Laurie Heron | Counselor | 403 Se Parkway Dr, Stuart, FL 34996-3201 | 2019-05-07 |
| 1851877302 | Marylise Zwarts | Counselor | 385 Se Cardinal Trl, Stuart, FL 34997-7303 | 2018-07-18 |
| 1407342793 | Dale M Young | Counselor | 1357 Sw Eagleglen Pl, Stuart, FL 34997-7166 | 2018-07-10 |
| 1336645779 | Susan A. Shirley | Counselor | 2440 Se Federal Hwy Ste 103, Stuart, FL 34994-4531 | 2018-04-04 |
| 1760980353 | Paul Brooke Hugens | Counselor | 615 Sw Camden Ave, Stuart, FL 34994-2924 | 2018-01-29 |
| Find all providers in STUART | ||||
Please comment or provide details below to improve the information on SAVANNAH FULFORD.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.