Fortitude Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

64747 Issued in TX

Legal business name

FORTITUDE COUNSELING, LLC

Practice address

771 E US Highway 80
Suite 105
Forney, TX 75126-8699

Phone

(888) 881-5107

Fax

(888) 550-6362

NPI assigned

Jan 18, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Erica Winn, LPC, LMFT

Title

Owner

Phone

(888) 881-5107

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1346786175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E US HIGHWAY 80",
            "address_2": "SUITE, 200-435",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268722",
            "telephone_number": "888-881-5107",
            "fax_number": "888-550-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 E US HIGHWAY 80",
            "address_2": "SUITE 105",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751268699",
            "telephone_number": "888-881-5107",
            "fax_number": "888-550-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "WINN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-881-5107",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUALLY",
            "identifier": "1154757037",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Forney, TX
• Providers in Forney, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.