Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHOENIX FULLENWIDER
Active Sole ProprietorPHOENIX FULLENWIDER is a Marriage & Family Therapist healthcare provider located in OCOEE, Florida. NPI 1417817875 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · OCOEE, FL
Registration Details
- NPI Number
- 1417817875
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2025 (0.69829006231339 yrs)
- Last Updated
- Nov 17, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
630 FORTANINI CIROCOEE, FL, 347615077Browse FL providers · Browse ZIP 34761
- Phone
- 3214649672
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in OCOEE, FL
| Name | Credential | NPI |
|---|---|---|
| HEIDI YOLANDA SPOSATO | M.A., LMFT | 1962734525 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.