Fruitful Life Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6099 Issued in SC

Legal business name

FRUITFUL LIFE COUNSELING LLC

Practice address

1234 Strada Amore Apt 4
Florence, SC 29501-0245

Phone

(770) 778-3516

NPI assigned

Apr 27, 2018

Last updated

Apr 27, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Miss Carrie Lusk, LPC

Title

Owner

Phone

(770) 778-3516

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1524787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524787200000",
    "number": "1619465309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 STRADA AMORE APT 4",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295010245",
            "telephone_number": "770-778-3516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 STRADA AMORE APT 4",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295010245",
            "telephone_number": "770-778-3516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRUITFUL LIFE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-27",
        "last_updated": "2018-04-27",
        "status": "A",
        "authorized_official_last_name": "LUSK",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-778-3516",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "6099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1536",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alvani Shavon Frierson, RN
• Bernice Frierson, BA
• Kristin Frierson, LPN
• Melissa Frierson
• Bryon K. Frost, M.D.
• Ryan Douglas Fuchs
• Rosanne Fulcher, LPC
• Patsy Fulghum, BSN, RN
• Fuller Life Strategies, LLC
• Teil Fuller

• Professional Counselor in Florence, SC
• Providers in Florence, 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 Apr 27, 2018; 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.