Individual
YAKEIA FULLENWINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
975 W FARIS RD, GREENVILLE, SC 29605-4241
(864) 729-8330
Mailing address
431 FOX RUN TRL, WOODRUFF, SC 29388-9812
(864) 680-9189
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6693
SC
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8157
—
SC
05
—
GP8165
—
SC
05
—
PC1880
—
SC
Enumeration date
03/12/2013
Last updated
04/08/2026
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