| Fortitude Therapy And Wellness, Llc | |
|
1421 34th Ave Suite 205 Seattle WA 98122-3333 | |
| (206) 354-7971 | |
| Not Available |
| Full Name | Fortitude Therapy And Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1421 34th Ave, Seattle, Washington |
| Authorized Official Name and Position | Lavonne Bryan (OWNER/MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2063547971 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortitude Therapy And Wellness, Llc 1421 34th Ave Suite 205 Seattle WA 98122-3333 Ph: (206) 354-7971 | Fortitude Therapy And Wellness, Llc 1421 34th Ave Suite 205 Seattle WA 98122-3333 Ph: (206) 354-7971 |
| NPI Number | 1134663610 |
|---|---|
| Provider Enumeration Date | 12/19/2016 |
| Last Update Date | 12/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134663610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60420486 (Washington) | Primary |
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