Fortitude Mental Health Services L.l.c | |
101 Central Ave Sw Le Mars IA 51031-3620 | |
(712) 522-1119 | |
(712) 587-9695 |
Full Name | Fortitude Mental Health Services L.l.c |
---|---|
Speciality | Community/behavioral Health |
Location | 101 Central Ave Sw, Le Mars, Iowa |
Authorized Official Name and Position | Jennifer Lynn Ruden (OWNER) |
Authorized Official Contact | 7125221119 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fortitude Mental Health Services L.l.c 101 Central Ave Sw Le Mars IA 51031-3620 Ph: (712) 522-1119 | Fortitude Mental Health Services L.l.c 101 Central Ave Sw Le Mars IA 51031-3620 Ph: (712) 522-1119 |
NPI Number | 1982054524 |
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Provider Enumeration Date | 06/14/2016 |
Last Update Date | 08/25/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982054524 | NPI | - | NPPES |
13575944 | Other | IA | CAQH |
600849393 | Medicaid | IA | |
1689924466 | Other | IA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 001719 (Iowa) | Secondary |
251S00000X | Community/behavioral Health | 001719 (Iowa) | Primary |
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Plains Area Mental Health, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 180 10th St Se Ste 201, Le Mars, IA 51031 Phone: 712-546-4624 Fax: 712-546-9395 | |
Therapeutic Reflections, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Central Ave Sw, Le Mars, IA 51031 Phone: 712-522-1119 | |
Plains Area Mental Health, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 180 10th St Se, Suite 201, Le Mars, IA 51031 Phone: 712-546-4624 Fax: 712-546-9395 |