| Fuller Behavior Program | |
|
2803 Riverside Pkwy Apt 4502 Grand Prairie TX 75050-8747 | |
| (214) 760-9573 | |
| Not Available |
| Full Name | Fuller Behavior Program |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2803 Riverside Pkwy Apt 4502, Grand Prairie, Texas |
| Authorized Official Name and Position | Melvin Fuller (CEO) |
| Authorized Official Contact | 2147609573 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fuller Behavior Program 2803 Riverside Pkwy Apt 4502 Grand Prairie TX 75050-8747 Ph: (214) 760-9573 | Fuller Behavior Program 2803 Riverside Pkwy Apt 4502 Grand Prairie TX 75050-8747 Ph: (214) 760-9573 |
| NPI Number | 1710246293 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 05/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710246293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Maedean Counseling And Consulting Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2939 Cayuga Lane, Grand Prairie, TX 75054 Phone: 214-707-7748 | |
A Caring Place For Me Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3239 Guadaloupe, Grand Prairie, TX 75054 Phone: 682-521-7428 | |
Behavioral Healthcare Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2801 Osler Dr Bldg A, Suite 300, Grand Prairie, TX 75051 Phone: 817-265-2344 | |
Triumph Billing Svcs Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 W Polo Rd, Grand Prairie, TX 75052 Phone: 817-987-7936 | |
Mkram, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 614 Dalworth St, Grand Prairie, TX 75050 Phone: 972-264-9111 Fax: 972-264-9120 | |
Life Revise Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2321 S Belt Line Rd Ste 117, Grand Prairie, TX 75051 Phone: 817-821-3690 | |
Idera Behavioral Health Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3036 Larreta, Grand Prairie, TX 75054 Phone: 817-217-0662 |