FORTENBERRY COUNSELING AND CONSULTING SERVICES LLC. NPI 1528562477

NPI Information

NPI: 1528562477
Provider Name: FORTENBERRY COUNSELING AND CONSULTING SERVICES, LLC.
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
880 S PLEASANTBURG DR STE 4F
GREENVILLE, SC
ZIP 29607
Phone: (864) 494-5462
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FORTENBERRY COUNSELING AND CONSULTING SERVICES, LLC. is a professional counselor in Greenville, SC. FORTENBERRY COUNSELING AND CONSULTING SERVICES, LLC. NPI is 1528562477. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

880 S PLEASANTBURG DR STE 4F
GREENVILLE, SC
ZIP 29607-453
Phone: (864) 494-5462

The provider's authorized official is Tayla R Fortenberry .
The authorized official title is Owner / Therapist and has the following contact phone number (864) 494-5462.

The enumeration date for this NPI number is 3/23/2018 and was last updated on 3/23/2018.

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	101YP2500X	Counselor	Professional	6611	SOUTH CAROLINA	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	PC1840	MEDICAID	SOUTH 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: 11/14/2023

NPI Synchronization or Removal

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