Organization
FULLER LIFE INSTITUTE
Active
Other names
Fuller Life Family Therapy Insitute
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY FULLER PHD, LMFT, LPC (CLINICAL DIRECTOR)
(855) 245-5433
Entity
Organization
Contact information
Practice address
4545 BISSONNET ST STE 289, BELLAIRE, TX 77401-3112
(855) 245-5433
(855) 245-5433
Mailing address
4545 BISSONNET ST STE 289, BELLAIRE, TX 77401-3112
(855) 245-5433
(855) 245-5433
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
201031
TX
Other
Enumeration date
04/06/2012
Last updated
04/06/2012
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