Fullenwinder, Yakeia
Fullenwinder, Yakeia is an sole proprietor health care provider with primary practice located at 975 W Faris Rd , Greenville SC 29605-4241. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Fullenwinder, Yakeia can be contacted via phone (864) 729-8330.Contact Information
Primary practice address
975 W Faris Rd
Greenville SC 29605-4241
Phone: (864) 729-8330
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 6693 | South Carolina |
Profile Details
| NPI number | 1619218914 |
|---|---|
| LBN Legal business name | Fullenwinder, Yakeia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2013 |
| Last updated | Apr 8th, 2026 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619218914 | NPPES |
| South Carolina | MEDICAID | GP8165 | |
| South Carolina | MEDICAID | GP8157 | |
| South Carolina | MEDICAID | PC1880 |
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