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

Individual provider Mental Health Counselor · NPI 1497543102

Bethany Rae Fuller, LPC is a Mental Health Counselor in Ellisville, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2025
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

260 Clarkson Rd
Ellisville, MO 63011-2245
Phone: (314) 254-3448
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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 · Licence 2022003037 (MO)

Record details

NPI number1497543102
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedApril 30, 2025
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address3931 Wyoming St, Saint Louis, MO 63116-3917

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