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

Mr. Michael Fuller, MHPS

Individual provider Peer Specialist · NPI 1063230878

Mr. Michael Fuller, MHPS is a Peer Specialist in Fort Worth, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024

Practice location Address checks out

6421 Camp Bowie Blvd Ste 308
Fort Worth, TX 76116-5421
Phone: (682) 277-9994
Fax: (833) 915-1751
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 2076-0624 (TX)

Record details

NPI number1063230878
Entity typeIndividual (Type 1)
GenderMale
Credentials MHPS
Sole proprietorYes
NPI enumeratedSeptember 30, 2024
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address6421 Camp Bowie Blvd Ste 308, Fort Worth, TX 76116-5421

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