KW CONSULTING LLC NPI 1679127781

NPI Information

NPI: 1679127781
Provider Name: KW CONSULTING, LLC

Doing Business As: FULLER LIFE COUNSELING

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
5966 SCOTTSVILLE RD
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 791-8189
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KW CONSULTING, LLC is a mental health counselor in Bowling Green, KY. KW CONSULTING, LLC NPI is 1679127781. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Fuller Life Counseling.

The provider's business location address is:

5966 SCOTTSVILLE RD
BOWLING GREEN, KY
ZIP 42104-387
Phone: (270) 791-8189

The provider's authorized official is Kristina Watt Fuller .
The authorized official title is Owner and has the following contact phone number (270) 791-8189.

The CLIA number assigned to this NPI record is 18D2270540 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/26/2019 and was last updated on 8/18/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YP2500X	Counselor	Professional	No
3	101YM0800X	Counselor	Mental Health	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	710028700	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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