Provider Demographics
NPI:1770368607
Name:JIM FULTON COUNSELING, LLC
Entity type:Organization
Organization Name:JIM FULTON COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:GEORGE
Authorized Official - Last Name:FULTON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:724-910-9844
Mailing Address - Street 1:226 PAUL ST STE 211
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15211-2332
Mailing Address - Country:US
Mailing Address - Phone:412-433-0296
Mailing Address - Fax:
Practice Address - Street 1:226 PAUL ST STE 211
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15211-2332
Practice Address - Country:US
Practice Address - Phone:412-433-0296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty