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

Nathan Fuller, LPC014076

Individual provider Adult Mental Health Clinic/Center · NPI 1841867595

Nathan Fuller, LPC014076 is an Adult Mental Health Clinic/Center in Clarkesville, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021
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Practice location Address checks out

224 Hershels Way
Clarkesville, GA 30523-4169
Phone: (912) 695-5020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X · Licence LPC014076 (GA)

Record details

NPI number1841867595
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC014076
Sole proprietorYes
NPI enumeratedJune 9, 2021
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026
Mailing address224 Hershels Way, Clarkesville, GA 30523-4169