Provider Demographics
NPI:1639985724
Name:GR8FULAMY COUNSELING LLC
Entity type:Organization
Organization Name:GR8FULAMY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARGER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:317-443-6508
Mailing Address - Street 1:1067 LICHFIELD LN
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46074-4425
Mailing Address - Country:US
Mailing Address - Phone:317-443-6508
Mailing Address - Fax:
Practice Address - Street 1:1067 LICHFIELD LN
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:IN
Practice Address - Zip Code:46074-4425
Practice Address - Country:US
Practice Address - Phone:317-443-6508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty