National Provider Identifier
The Full Fruit Empowerment Center
The Full Fruit Empowerment Center is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Dallas, TX and a listed phone number of (682) 557-4695.
Source: public NPPES record, last updated January 15, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1144819996
- Provider Type
- Organization
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- January 15, 2021
- Last Updated
- January 15, 2021
Practice Location
- 4650 S Hampton RD Ste 119
- Dallas, TX 75232-1061
Phone: (682) 557-4695
Mailing Address
- 1512 Chama Dr
- Fort Worth, TX 76119-2666
Authorized Official
- Name
- MS. Delora Evans
- Title
- Owner/CEO/ Exe Dir
- Credentials
- MA, LPC-S, LCDC, SAP
- Phone
- (469) 766-1251
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
Endpoints
- TheFullFruitEmpowermentCenter.com
Connect Url | Direct | Csv | Dallas, TX 75232
Website
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Full Record
- NPI
- 1144819996
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- The Full Fruit Empowerment Center
- Mailing Street Address
- 1512 Chama Dr
- Mailing City
- Fort Worth
- Mailing State
- TX
- Mailing ZIP Code
- 76119-2666
- Mailing Country
- US
- Mailing Phone
- (469) 766-1251
- Practice Street Address
- 4650 S Hampton RD Ste 119
- Practice City
- Dallas
- Practice State
- TX
- Practice ZIP Code
- 75232-1061
- Practice Country
- US
- Practice Phone
- (682) 557-4695
- Enumeration Date
- January 15, 2021
- Last Updated
- January 15, 2021
- Authorized Official Last Name
- Evans
- Authorized Official First Name
- Delora
- Authorized Official Title
- Owner/CEO/ Exe Dir
- Authorized Official Phone
- (469) 766-1251
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- MS.
- Authorized Official Credential Text
- MA, LPC-S, LCDC, SAP
- Taxonomy Group 1
- 193200000X Multi-Specialty Group
- Certification Date
- January 15, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)