| Brainfruit Counseling Llc | |
|
52 Sutherland Cv Starkville MS 39759-6568 | |
| (214) 906-0727 | |
| Not Available |
| Full Name | Brainfruit Counseling Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 52 Sutherland Cv, Starkville, Mississippi |
| Authorized Official Name and Position | Brandance Gandy Dyar (OWNER) |
| Authorized Official Contact | 2149060727 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainfruit Counseling Llc 52 Sutherland Cv Starkville MS 39759-6568 Ph: () - | Brainfruit Counseling Llc 52 Sutherland Cv Starkville MS 39759-6568 Ph: (214) 906-0727 |
| NPI Number | 1366190555 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366190555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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