FORTUIDE WELLBEING LLC NPI 1629831565

NPI Information

  • NPI: 1629831565
  • Provider Name: FORTUIDE WELLBEING LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 3425 BAYSIDE LAKES BLVD SE STE 103-1184
    PALM BAY, FL
    ZIP 32909
  • Phone: (321) 325-6935

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NPI Details

FORTUIDE WELLBEING LLC is a mental health (including community mental health center) clinic center in Palm Bay, FL. FORTUIDE WELLBEING LLC NPI is 1629831565. The provider is registered as an organization entity type.

The provider's business location address is:

3425 BAYSIDE LAKES BLVD SE STE 103-1184
PALM BAY, FL
ZIP 32909-867
Phone: (321) 325-6935
Fax: (321) 325-6840

The provider's authorized official is Carolyn Hix .
The authorized official title is Owner/mental Health Counselor and has the following contact phone number (321) 325-6935.

The enumeration date for this NPI number is 2/2/2024 and was last updated on 4/15/2024.

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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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: 3/30/2025

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