Organization
FRUITFUL LIVING NOW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TILLIK RAFEL DEWELL JR. (CEO)
(704) 712-4958
Entity
Organization
Contact information
Practice address
331 E MAIN ST, ROCK HILL, SC 29730-5383
(704) 712-4958
(704) 712-4958
Mailing address
610 E 7TH ST STE 100, CHARLOTTE, NC 28202-2923
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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