# FOREST PATH COUNSELING & WELLNESS LISA FULFOR PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417414525
- **Authorized official:** LISA FULFOR LCSW (OWNER)
- **Authorized official phone:** (214) 316-0924

## Contact information

- **Practice address:** 8105 RASOR BLVD STE 225, PLANO, TX 75024-0265
- **Practice address phone:** (214) 316-0924
- **Mailing address:** 13254 LIME RIDGE DR, FRISCO, TX 75033-0938
- **Mailing address phone:** (214) 316-0924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2019
- **Last updated:** 04/24/2019