Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fully Alive Therapies LLC

Organization Mental Health Counselor · NPI 1750018305

Fully Alive Therapies LLC is a Mental Health Counselor in Lake Worth, Florida. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5128 Arbor Glen Cir
Lake Worth, FL 33463-8043
Phone: (630) 216-9881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1750018305
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jithin George — Owner · (630) 216-9881
NPI enumeratedAugust 3, 2022
Last updated in NPPESAugust 3, 2022
Certification dateAugust 3, 2022
Mailing address5128 Arbor Glen Cir, Lake Worth, FL 33463-8043

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