| Fortitude Counseling And Treatment Llc | |
|
912 12th Ave S Ste 208 Nampa ID 83651-4681 | |
| (208) 953-1302 | |
| Not Available |
| Full Name | Fortitude Counseling And Treatment Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 912 12th Ave S Ste 208, Nampa, Idaho |
| Authorized Official Name and Position | Hilary Joan Raptosh (OWNER/LCPC) |
| Authorized Official Contact | 2089531302 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortitude Counseling And Treatment Llc 11108 Alamo Ln Nampa ID 83686-9244 Ph: (208) 953-1302 | Fortitude Counseling And Treatment Llc 912 12th Ave S Ste 208 Nampa ID 83651-4681 Ph: (208) 953-1302 |
| NPI Number | 1487419875 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 12/15/2024 |
| Certification Date | 12/15/2024 |
| Medicare PECOS PAC ID | 2567999675 |
|---|---|
| Medicare Enrollment ID | O20241231000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487419875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Hilary Raptosh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356820260 PECOS PAC ID: 2365979481 Enrollment ID: I20241231000731 |
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