Fruitful Living Now LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

FRUITFUL LIVING NOW LLC

Practice address

331 E Main St
Rock Hill, SC 29730-5383

Phone

(704) 712-4958

Fax

(704) 712-4958

NPI assigned

Oct 11, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Tillik Rafel Dewell Jr.

Title

Ceo

Phone

(704) 712-4958

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507680000000",
    "number": "1275043671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 E 7TH ST STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282022923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305383",
            "telephone_number": "704-712-4958",
            "fax_number": "704-712-4958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUITFUL LIVING NOW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2017-10-11",
        "status": "A",
        "authorized_official_last_name": "DEWELL",
        "authorized_official_first_name": "TILLIK",
        "authorized_official_middle_name": "RAFEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-712-4958",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; 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.