Fortitude Counseling Associates, Pllc

LBN: Fortitude Counseling Associates, Pllc
Fortitude Counseling Associates, Pllc is an health care organization with primary practice located at 100 Westlake Rd Ste 102 , Fayetteville NC 28314-4871. The organization recently has 7 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Clinical, Dental Providers / General Practice, Agencies / Community/Behavioral Health, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Behavioral Health & Social Service Providers / Professional is the primary health care specialty. Fortitude Counseling Associates, Pllc can be contacted via phone (910) 286-9730, or through Jones, Shawn via phone (910) 286-9730.

Contact Information

Primary practice address
100 Westlake Rd Ste 102 Fayetteville NC 28314-4871
Phone: (910) 286-9730
Fax: (833) 299-8421
Website:
Map and Directions
Authorized official contact:
Name: Jones, Shawn LCMHC
Phone: (910) 286-9730

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Professional 101YP2500X 10707 North Carolina
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Dental Providers / General Practice 1223G0001X
Agencies / Community/Behavioral Health 251S00000X
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X

Profile Details

NPI number 1558804294
LBN Legal business name Fortitude Counseling Associates, Pllc
DBA Doing business as
Authorized official Jones, Shawn LCMHC
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2016
Last updated Sep 7th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558804294 NPPES
North Carolina MEDICAID 1972918290

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