Organization
BRAINFRUIT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDANCE GANDY DYAR (OWNER)
(214) 906-0727
Entity
Organization
Contact information
Practice address
52 SUTHERLAND CV, STARKVILLE, MS 39759-6568
(214) 906-0727
Mailing address
52 SUTHERLAND CV, STARKVILLE, MS 39759-6568
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/16/2022
Last updated
03/16/2022
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