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FORTITUDE PSYCHOTHERAPY NPI 1053600155


NPI Information

NPI: 1053600155
Provider Name: FORTITUDE PSYCHOTHERAPY
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
3903 WISEMAN BLVD
STE #211
SAN ANTONIO, TX
ZIP 78251
Phone: (210) 381-6593
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FORTITUDE PSYCHOTHERAPY is a counselor in San Antonio, TX. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. FORTITUDE PSYCHOTHERAPY NPI is 1053600155. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3903 WISEMAN BLVD
STE #211
SAN ANTONIO, TX
ZIP 78251-401
Phone: (210) 381-6593

The provider's authorized official is Michael Gambuti .
The authorized official title is Manager and has the following contact phone number (210) 381-6593.

The enumeration date for this NPI number is 3/30/2011 and was last updated on 3/30/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor60992TEXASYes

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

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