Healthcare Provider Details

I. General information

NPI: 1831073188
Provider Name (Legal Business Name): FRUITFUL SEEDS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2025
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

541 E BROAD ST
BETHLEHEM PA
18018-6314
US

IV. Provider business mailing address

1576 FLEMING ST
BETHLEHEM PA
18017-6207
US

V. Phone/Fax

Practice location:
  • Phone: 484-221-2411
  • Fax:
Mailing address:
  • Phone: 484-221-2411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MISS JENNIFER BRUNO
Title or Position: THERAPIST/OWNER
Credential: LCSW
Phone: 484-221-2411