The Full Fruit Empowerment Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

THE FULL FRUIT EMPOWERMENT CENTER

Practice address

4650 S Hampton Rd Ste 119
Dallas, TX 75232-1061

Phone

(682) 557-4695

NPI assigned

Jan 15, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Delora Evans, MA, LPC-S, LCDC, SAPNPI 1639612039

Title

Owner/Ceo/ Exe Dir

Phone

(469) 766-1251

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Delora Evans

  • Professional Counselor
  • Dallas, TX
  • NPI 1639612039
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1144819996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 CHAMA DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761192666",
            "telephone_number": "469-766-1251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 S HAMPTON RD STE 119",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752321061",
            "telephone_number": "682-557-4695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE FULL FRUIT EMPOWERMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "DELORA",
        "authorized_official_title_or_position": "OWNER/CEO/ EXE DIR",
        "authorized_official_telephone_number": "469-766-1251",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LPC-S, LCDC, SAP"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TheFullFruitEmpowermentCenter.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4650 S Hampton Rd Ste 119",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752321061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Addiction (Substance Use Disorder) Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.