Healthcare Provider Details

I. General information

NPI: 1942736681
Provider Name (Legal Business Name): FRUITION COUNSELING AND CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2017
Last Update Date: 05/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9375 E SHEA BLVD SUITE 100
SCOTTSDALE AZ
85260-6991
US

IV. Provider business mailing address

9375 E SHEA BLVD SUITE 100
SCOTTSDALE AZ
85260-6991
US

V. Phone/Fax

Practice location:
  • Phone: 480-444-6766
  • Fax:
Mailing address:
  • Phone: 480-444-6766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number1125188
License Number StateAZ

VIII. Authorized Official

Name: DR. APRIL RENEE CRABLE
Title or Position: OWNER
Credential: LPC
Phone: 434-637-5081