| Fortitude Counseling Services | |
|
615 Saint George Square Ct Winston Salem NC 27103-1356 | |
| (336) 609-3737 | |
| Not Available |
| Full Name | Fortitude Counseling Services |
|---|---|
| Speciality | Counselor - Professional |
| Location | 615 Saint George Square Ct, Winston Salem, North Carolina |
| Authorized Official Name and Position | Beth Ann Burns (OWNER) |
| Authorized Official Contact | 3366093737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortitude Counseling Services 5129 W Us Highway 64 Lexington NC 27295-6981 Ph: (336) 609-3737 | Fortitude Counseling Services 615 Saint George Square Ct Winston Salem NC 27103-1356 Ph: (336) 609-3737 |
| NPI Number | 1669996229 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 08/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669996229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-3347 (North Carolina) | Secondary |
| 101YP2500X | Counselor - Professional | 10452 (North Carolina) | Primary |
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