Organization
FULFILLED WELLNESS & SUPPORT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TATIANNA DENISE FISHER LMHC (OWNER)
(321) 246-6974
Entity
Organization
Contact information
Practice address
833 GOOD HOMES ROAD, ORLANDO, FL 32818
(321) 246-6974
Mailing address
833 GOOD HOMES ROAD, ORLANDO, FL 32818
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
251X00000X
Supports Brokerage Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/28/2026
Last updated
05/28/2026
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