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Organization
FORTIVA THERAPY
Active
Organization
FORTIVA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY HAYES LMFT, LPCC (CEO)
(310) 906-0895
Entity
Organization
Contact information
Practice address
2615 PACIFIC COAST HWY STE 225, HERMOSA BEACH, CA 90254-2228
(310) 906-0895
Mailing address
2615 PACIFIC COAST HWY STE 225, HERMOSA BEACH, CA 90254-2228
(310) 906-0895
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
10/19/2024
Last updated
07/17/2025
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