LECIA M FULLER-MARTIN


Address: 4410 Claiborne Sq E Ste 3344410, Hampton, VA 23666-2071
Phone: 7579218377

LECIA M FULLER-MARTIN (NPI# 1740834936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1740834936
Entity Type Individual
Full Name LECIA M FULLER-MARTIN
Credential LPC
Practice Address 4410 Claiborne Sq E Ste 3344410
Hampton
VA 23666-2071
Mailing Address 7301 River Rd Apt 115
Newport News
VA 23607-1764
Practice Telephone 7579218377
Mailing Telephone 7579218377
Enumeration Date 2019-07-26
Last Update Date 2020-10-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
0701008500 VA Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
568 Candle Ln Apt 102, Newport News, VA 236088711 7579218377
9228 George Washington Memorial Hwy, Gloucester, VA 230614162 8046935057

Office Location

Street Address 4410 CLAIBORNE SQ E STE 3344410
City HAMPTON
State VA
Zip Code 23666-2071

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548824022 Melanin Excellence Medical Transportation Co LLC Non-emergency Medical Transport (VAN) 4418 East Claiborne Sq, Suite 334, Hampton, VA 23666 2019-04-30
1952880502 Exquisite Counseling Services LLC Counselor 2703 Build America Drive, Hampton, VA 23666 2018-08-13
1063999811 Speak From The Heart Speech-Language Pathologist 2 Abbott Dr, Hampton, VA 23666 2018-07-24
1245724632 Drashti Khamar Dentist 2040 Coliseum Dr # A27, Hampton, VA 23666 2018-06-19
1750874772 Dion J Roszina Private Vehicle 806 Charlton,dr, Hampton, VA 23666 2018-06-13
1205352481 Crystal Lynn Harris Counselor 2021 Cunningham Drive, Suite 400, Hampton, VA 23666 2017-08-18
1538693361 Marquis A. Norton Counselor 4410 East Claiborne Street, Suite 334, Hampton, VA 23666 2017-04-18
1194181966 Key Elements Care, LLC Case Management 20 Research Dr Ste 600, Hampton, VA 23666 2016-01-11
1740665215 Lauren-grey Gonzales Igel Hearing Instrument Specialist 1507 Hardy Cash Drive, Hampton, VA 23666 2015-07-27
1457758062 Alexandra Levine Acupuncturist 2216 Executive Dr Ste A, Hampton, VA 23666 2014-11-25
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588204853 Lynnette Lanae Fogg Counselor 600 Medical Dr Ste A&b, Hampton, VA 23666-1769 2020-01-14
1154979771 Natashia Nicole Cowan Counselor 15 Research Dr Ste A, Hampton, VA 23666-1324 2019-08-27
1851951719 Sueann Nicole Anderson Counselor 202 Ward Dr, Hampton, VA 23669-3651 2019-06-13
1831653518 Laura Anne Ferriola Counselor 28 Gallaer Ct, Hampton, VA 23666-5327 2019-01-26
1609340975 Azz-ert Urself LLC Counselor 1702 Todds Ln Ste 380, Hampton, VA 23666-3212 2019-01-19
1134691900 La'kisha Broughton Counselor 13 Ridge Lake Dr, Hampton, VA 23666-1862 2018-12-18
1356842074 Brenda Ruth Kemp Counselor 585 Vaughan Dr, Hampton, GA 30228-5323 2018-02-27
1285171553 Shannon P Williams Counselor 1358 Buckingham Dr, Hampton, GA 30228-3281 2017-01-25
1053767020 Luxtracia Gregory Counselor 34 W Queens Way, Hampton, VA 23669-3968 2016-05-10
1851756696 Renee Fensom Guynn Counselor 104 Garrett Dr, Hampton, VA 23669-3625 2015-12-21
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Competitor

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City HAMPTON
Zip Code 23666

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Dataset Information

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.

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