FORTITUDE COUNSELING ASSOCIATES PLLC NPI 1558804294

NPI Information

NPI: 1558804294
Provider Name: FORTITUDE COUNSELING ASSOCIATES, PLLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
100 WESTLAKE RD STE 102
FAYETTEVILLE, NC
ZIP 28314
Phone: (910) 286-9730
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FORTITUDE COUNSELING ASSOCIATES, PLLC is a professional counselor in Fayetteville, NC. FORTITUDE COUNSELING ASSOCIATES, PLLC NPI is 1558804294. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

100 WESTLAKE RD STE 102
FAYETTEVILLE, NC
ZIP 28314-871
Phone: (910) 286-9730
Fax: (833) 299-8421

The provider's authorized official is Shawn Jones .
The authorized official title is Ceo/director and has the following contact phone number (910) 286-9730.

The enumeration date for this NPI number is 11/29/2016 and was last updated on 9/7/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	101YP2500X	Counselor	Professional	10707	NORTH CAROLINA	No
3	1041C0700X	Social Worker	Clinical			No
4	1223G0001X	Dentist	General Practice			No
5	251S00000X	Community/Behavioral Health				No
6	363AM0700X	Physician Assistant	Medical			No
7	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			No
8	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1972918290	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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