| Mrs Linda Sue Fuller, LCMHC | |
|
112 Marie Trce, Brunswick, GA 31525-8310 | |
| (919) 696-9300 | |
| Not Available |
| Full Name | Mrs Linda Sue Fuller |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 5 Years |
| Location | 112 Marie Trce, Brunswick, Georgia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346996865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-28705 (North Carolina) | Secondary |
| 101YM0800X | Counselor - Mental Health | 17374 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pride In North Carolina Llc | 9638105869 | 25 |
| Entity Name | Pride In North Carolina Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760420186 PECOS PAC ID: 9638105869 Enrollment ID: O20050711000558 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Linda Sue Fuller, LCMHC 112 Marie Trce, Brunswick, GA 31525-8310 Ph: (919) 696-9300 | Mrs Linda Sue Fuller, LCMHC 112 Marie Trce, Brunswick, GA 31525-8310 Ph: (919) 696-9300 |
Kristen A Keene, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 F St Ste 202, Brunswick, GA 31520 Phone: 912-319-4041 | |
Kendall Disa Boges, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1600 Ellis St, Brunswick, GA 31520 Phone: 912-289-1626 Fax: 912-289-2414 | |
Stephanie Roselind Wilson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3110 Parkwood Dr, Brunswick, GA 31520 Phone: 912-464-0830 | |
Mary Barnes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Saint Andrews Ct, Brunswick, GA 31520 Phone: 912-257-5858 | |
Loretta Patrice Jackson, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 Honeygal Rd, Brunswick, GA 31525 Phone: 191-224-2279 | |
Warren N. Thompson, MENTAL HEALTH THERAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Saint Andrews Ct, Brunswick, GA 31520 Phone: 912-574-5858 | |
Lutas Labarba, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Pheasant Dr, Brunswick, GA 31525 Phone: 912-580-6599 |