Individual
BRIANA FULLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
140 E PARK AVE, LAKE WALES, FL 33853-4124
(863) 272-3150
Mailing address
4151 DINNER LAKE WAY, LAKE WALES, FL 33859-2111
(803) 908-0222
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
23555
FL
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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