Healthcare Provider Details

I. General information

NPI: 1235331208
Provider Name (Legal Business Name): FULCRUM BEHAVIORAL CONSULTANTS LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

734 N MAIN ST
LACONIA NH
03246-2777
US

IV. Provider business mailing address

734 N MAIN ST
LACONIA NH
03246-2777
US

V. Phone/Fax

Practice location:
  • Phone: 603-528-5968
  • Fax: 603-528-3348
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number736
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number736
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number736
License Number StateNH

VIII. Authorized Official

Name: DAVID ARTHUR COLBY
Title or Position: PRESIDENT
Credential: LICSW
Phone: 603-528-5968