| Soulfruit Pllc | |
|
5926 Baker St Fort Benning GA 31905-1945 | |
| (910) 691-7102 | |
| Not Available |
| Full Name | Soulfruit Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5926 Baker St, Fort Benning, Georgia |
| Authorized Official Name and Position | Eboni Diane Hil (OWNER , COUNSELOR) |
| Authorized Official Contact | 9106917102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulfruit Pllc 5926 Baker St Fort Benning GA 31905-1945 Ph: (910) 691-7102 | Soulfruit Pllc 5926 Baker St Fort Benning GA 31905-1945 Ph: (910) 691-7102 |
| NPI Number | 1588526297 |
|---|---|
| Provider Enumeration Date | 12/01/2025 |
| Last Update Date | 12/01/2025 |
| Certification Date | 12/01/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588526297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Your Path Teletherapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7505 Craig Dr, Fort Benning, GA 31905 Phone: 901-273-7284 |