# FORTITUDE THERAPY AND WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134663610
- **Authorized official:** MS. LAVONNE BRYAN LMHC (OWNER/MENTAL HEALTH THERAPIST)
- **Authorized official phone:** (206) 354-7971

## Contact information

- **Practice address:** 1421 34TH AVE, SUITE 205, SEATTLE, WA 98122-3333
- **Practice address phone:** (206) 354-7971
- **Mailing address:** 1421 34TH AVE, SUITE 205, SEATTLE, WA 98122-3333
- **Mailing address phone:** (206) 354-7971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | LH60420486 | WA | Yes |

## Other

- **Enumeration date:** 12/19/2016
- **Last updated:** 12/19/2016