| Fortitude Mental Health Services L.l.c | |
|
30 5th Ave Se Le Mars IA 51031-3740 | |
| (712) 541-2597 | |
| Not Available |
| Full Name | Fortitude Mental Health Services L.l.c |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 30 5th Ave Se, Le Mars, Iowa |
| Authorized Official Name and Position | Jennifer Lynn Ruden (OWNER) |
| Authorized Official Contact | 7125412597 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortitude Mental Health Services L.l.c 30 5th Ave Se Le Mars IA 51031-3740 Ph: (712) 541-2597 | Fortitude Mental Health Services L.l.c 30 5th Ave Se Le Mars IA 51031-3740 Ph: (712) 541-2597 |
| NPI Number | 1982054524 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 05/19/2025 |
| Certification Date | 05/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982054524 | NPI | - | NPPES |
| 600849393 | Medicaid | IA | |
| 13575944 | Other | IA | CAQH |
| 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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