Fortify Aba And Consulting Llc | |
6101 Nowak Ct Apt C Fort Johnson LA 71459-3651 | |
(703) 980-4720 | |
Not Available |
Full Name | Fortify Aba And Consulting Llc |
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Speciality | Community/behavioral Health |
Location | 6101 Nowak Ct Apt C, Fort Johnson, Louisiana |
Authorized Official Name and Position | Lorene Keenan (OWNER) |
Authorized Official Contact | 7039804720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Fortify Aba And Consulting Llc 6101 Nowak Ct Apt C Fort Johnson LA 71459-3651 Ph: (703) 980-4720 | Fortify Aba And Consulting Llc 6101 Nowak Ct Apt C Fort Johnson LA 71459-3651 Ph: (703) 980-4720 |
NPI Number | 1003519703 |
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Provider Enumeration Date | 03/23/2023 |
Last Update Date | 01/26/2024 |
Certification Date | 01/26/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003519703 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |