Fuller, Melissa Portia

Fuller, Melissa Portia is an sole proprietor health care provider with primary practice located at 7895 Currier Dr , Portage MI 49002-4314. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fuller, Melissa Portia can be contacted via phone (269) 910-7327.

Contact Information

Primary practice address
7895 Currier Dr Portage MI 49002-4314
Phone: (269) 910-7327
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 6401014638 Michigan
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 6401014638 Michigan

Profile Details

NPI number 1023668076
LBN Legal business name Fuller, Melissa Portia
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 11th, 2019
Last updated Feb 29th, 2024 - about 2 years 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.

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