| Fortify Counseling Services, Pllc | |
|
13706 Research Blvd Ste 312 Austin TX 78750-1840 | |
| (512) 900-3415 | |
| Not Available |
| Full Name | Fortify Counseling Services, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 13706 Research Blvd Ste 312, Austin, Texas |
| Authorized Official Name and Position | Brandee R. Smith (OWNER) |
| Authorized Official Contact | 5126577246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortify Counseling Services, Pllc 13706 Research Blvd Ste 312 Austin TX 78750-1840 Ph: (512) 900-3415 | Fortify Counseling Services, Pllc 13706 Research Blvd Ste 312 Austin TX 78750-1840 Ph: (512) 900-3415 |
| NPI Number | 1568007698 |
|---|---|
| Provider Enumeration Date | 11/13/2019 |
| Last Update Date | 11/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568007698 | NPI | - | NPPES |
| 32065919832 | Other | PLLC SUB S CORP TAX ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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