| Good Fruit Counseling Llc | |
|
1048 B Sagamore Parkway West 51 West Lafayette IN 47906 | |
| (765) 202-3558 | |
| Not Available |
| Full Name | Good Fruit Counseling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1048 B Sagamore Parkway West, West Lafayette, Indiana |
| Authorized Official Name and Position | Ryan Yarbrough (CO-CEO) |
| Authorized Official Contact | 7652023558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Fruit Counseling Llc 1048 B Sagamore Parkway West 51 West Lafayette IN 47906 Ph: () - | Good Fruit Counseling Llc 1048 B Sagamore Parkway West 51 West Lafayette IN 47906 Ph: (765) 202-3558 |
| NPI Number | 1639912041 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 06/13/2024 |
| Certification Date | 06/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639912041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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