Individual provider · Type 1 NPI

Ashanta Fulmore

Mental Health Counselor · Las Vegas, NV

NPI number 1861053142 Active

Practice location

7040 Laredo St
Las Vegas, NV 89117-3000

Call (702) 867-0267 Map

Mailing address

732 S 6th St
Las Vegas, NV 89101-6948

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1861053142

Ashanta Fulmore's National Provider Identifier is 1861053142, issued on Jun 26, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Las Vegas, NV. The record was last updated on Jun 4, 2026.