Fortitude Consulting, Counseling & Supervision Services, Llc | |
530 By Pass 123 Ste E2 Seneca SC 29678-0860 | |
(864) 952-1219 | |
Not Available |
Full Name | Fortitude Consulting, Counseling & Supervision Services, Llc |
---|---|
Speciality | Counselor - Professional |
Location | 530 By Pass 123 Ste E2, Seneca, South Carolina |
Authorized Official Name and Position | Chana Ashlan Land (CEO/REGISTERED AGENT) |
Authorized Official Contact | 8649521219 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fortitude Consulting, Counseling & Supervision Services, Llc 1085 Old Clemson Highway Suite E, #111 Seneca SC 29672-8029 Ph: (864) 952-1219 | Fortitude Consulting, Counseling & Supervision Services, Llc 530 By Pass 123 Ste E2 Seneca SC 29678-0860 Ph: (864) 952-1219 |
NPI Number | 1598242554 |
---|---|
Provider Enumeration Date | 07/23/2018 |
Last Update Date | 07/23/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598242554 | NPI | - | NPPES |
PC1934 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5087 (South Carolina) | Primary |
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