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

Aviae Fuller

Individual provider Mental Health Counselor · NPI 1629789920

Aviae Fuller is a Mental Health Counselor in Shreveport, Louisiana. Registered with an NPI since 2022.

In the registry since
2022
Specialties on file
3

Practice location Address checks out

4718 Hearne Ave
Shreveport, LA 71108-2703
Phone: (318) 828-1521
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Mental Health Counselor Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1629789920
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 7, 2022
Last updated in NPPESFebruary 15, 2023
Certification dateFebruary 15, 2023

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