| Fortenberry Counseling And Consulting Services, Llc. | |
|
880 S Pleasantburg Dr Ste 4f Greenville SC 29607-2453 | |
| (864) 494-5462 | |
| Not Available |
| Full Name | Fortenberry Counseling And Consulting Services, Llc. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 880 S Pleasantburg Dr Ste 4f, Greenville, South Carolina |
| Authorized Official Name and Position | Tayla R Fortenberry (OWNER / THERAPIST) |
| Authorized Official Contact | 8644945462 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortenberry Counseling And Consulting Services, Llc. 111 Madison Ridge Rd Piedmont SC 29673-7915 Ph: (864) 494-5462 | Fortenberry Counseling And Consulting Services, Llc. 880 S Pleasantburg Dr Ste 4f Greenville SC 29607-2453 Ph: (864) 494-5462 |
| NPI Number | 1528562477 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 03/23/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528562477 | NPI | - | NPPES |
| PC1840 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6611 (South Carolina) | Primary |
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