Fortitude Consulting, Counseling & Supervision Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5087 Issued in SC

Legal business name

FORTITUDE CONSULTING, COUNSELING & SUPERVISION SERVICES, LLC

Practice address

530 By Pass 123 Ste E2
Seneca, SC 29678-0860

Phone

(864) 952-1219

NPI assigned

Jul 23, 2018

Organization subpart

No

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

Authorized official

Name

Chana Ashlan Land, LPC, LPCSNPI 1598252199

Title

Ceo/Registered Agent

Phone

(864) 952-1219

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chana A. Skelton, LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chana Ashlan Land, LPC, LPCS

  • Professional Counselor
  • Seneca, SC
  • NPI 1598252199
  NPD Authorized official

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

{
    "created_epoch": "1532304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1598242554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 OLD CLEMSON HIGHWAY SUITE E, #111",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296728029",
            "telephone_number": "864-952-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 BY PASS 123 STE E2",
            "city": "SENECA",
            "state": "SC",
            "postal_code": "296780860",
            "telephone_number": "864-952-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTITUDE CONSULTING, COUNSELING & SUPERVISION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-23",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "LAND",
        "authorized_official_first_name": "CHANA",
        "authorized_official_middle_name": "ASHLAN",
        "authorized_official_title_or_position": "CEO/REGISTERED AGENT",
        "authorized_official_telephone_number": "864-952-1219",
        "authorized_official_credential": "LPC, LPCS"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "SC",
            "license": "5087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PC1934",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chana A. Skelton, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Chana A. Skelton, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Glenn Fleenor
• Cynthia D Floyd, APRN-C
• Kurt Fluhler, DPT
• Whitney Foley
• Jessica Erin Ford
• Kristy Leigh Foster
• Malia Fredrickson, D.D.S.
• Jessica Flanagan Freeman, LPC
• Hannah Gail Galloway, MD
• Peter James Galvin, MD

• Professional Counselor in Seneca, SC
• Providers in Seneca, SC by specialty
• Professional Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.