| Fortitude Wellness Collective, Llc | |
|
3922 Vermont Ave Alexandria VA 22304-6325 | |
| (202) 505-1916 | |
| Not Available |
| Full Name | Fortitude Wellness Collective, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3922 Vermont Ave, Alexandria, Virginia |
| Authorized Official Name and Position | Rashonda Iesha Riley (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2282183593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fortitude Wellness Collective, Llc 712 H St Ne Ste 1851 Washington DC 20002-3627 Ph: (202) 505-1916 | Fortitude Wellness Collective, Llc 3922 Vermont Ave Alexandria VA 22304-6325 Ph: (202) 505-1916 |
| NPI Number | 1063118776 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 02/05/2023 |
| Certification Date | 02/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063118776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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