Fortitude Counseling Services
Counselor, Professional in Winston Salem, NC. Organization (NPI-2).
NPI number1669996229
StatusActive
Last updated in NPPESAug 24, 2017
Details
- NPI
- 1669996229
- Entity type
- Organization (NPI-2)
- Legal business name
- Fortitude Counseling Services
- Organization subpart
- No
- Enumeration date
- Jul 26, 2017
- Last updated
- Aug 24, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 10452 | NC | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LCAS-3347 | NC |
Practice location
615 Saint George Square CtWinston Salem, NC 27103-1356
Phone 336-609-3737
Mailing address
5129 W Us Highway 64Lexington, NC 27295-6981
Phone 336-609-3737 · Fax 336-232-1368
Authorized official
Beth Ann Burns
Owner
3366093737
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