Organization · NPI-2

Fortify Christian Counseling, LLC

Clinic/Center, Adolescent and Children Mental Health · Newnan, GA

NPI number1013839869
StatusActive
Last updated in NPPESJul 25, 2026

Details

NPI
1013839869
Entity type
Organization (NPI-2)
Legal business name
Fortify Christian Counseling, LLC
Organization subpart
No
Enumeration date
Jul 25, 2026
Certification date
Jul 25, 2026
Last updated
Jul 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0855X Clinic/Center, Adolescent and Children Mental Health––Yes
261QM0850X Clinic/Center, Adult Mental Health––

Practice location

239 Arbor Springs Pkwy
Newnan, GA 30265-4137

Phone 678-457-6165

Mailing address

239 Arbor Springs Pkwy
Newnan, GA 30265-4137

Phone 678-457-6165

Authorized official

Kimberly Noelle Porter
Owner
6784576165

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