FORTITUDE THERAPY AND WELLNESS LLC NPI 1134663610

NPI Information

NPI: 1134663610
Provider Name: FORTITUDE THERAPY AND WELLNESS, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1421 34TH AVE
SUITE 205
SEATTLE, WA
ZIP 98122
Phone: (206) 354-7971
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FORTITUDE THERAPY AND WELLNESS, LLC is a mental health counselor in Seattle, WA. FORTITUDE THERAPY AND WELLNESS, LLC NPI is 1134663610. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1421 34TH AVE
SUITE 205
SEATTLE, WA
ZIP 98122-333
Phone: (206) 354-7971

The provider's authorized official is Lavonne Bryan .
The authorized official title is Owner/mental Health Therapist and has the following contact phone number (206) 354-7971.

The enumeration date for this NPI number is 12/19/2016 and was last updated on 12/19/2016.

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	LH60420486	WASHINGTON	Yes

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: 11/14/2023

NPI Synchronization or Removal

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