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

Kelly Lynn Fuller

Individual provider Mental Health Counselor · NPI 1033827308

Kelly Lynn Fuller is a Mental Health Counselor in Bloomingdale, New York. Licensed in New York. Registered with an NPI since 2022.

Licensed in
NY
In the registry since
2022

Practice location Address checks out

755 Cold Brook Rd
Bloomingdale, NY 12913-2415
Phone: (518) 637-4112
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence P118325 (NY)

Record details

NPI number1033827308
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 7, 2022
Last updated in NPPESNovember 7, 2022
Certification dateNovember 7, 2022