# SOULFRUIT PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588526297
- **Authorized official:** MRS. EBONI DIANE HIL LCMHCA NCC (OWNER , COUNSELOR)
- **Authorized official phone:** (910) 691-7102

## Contact information

- **Practice address:** 5926 BAKER ST, FORT BENNING, GA 31905-1945
- **Practice address phone:** (910) 691-7102
- **Mailing address:** 5926 BAKER ST, FORT BENNING, GA 31905-1945
- **Mailing address phone:** (910) 691-7102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | Yes |
| 101YP2500X | Professional Counselor | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2025
- **Last updated:** 12/01/2025