# FORTIS BEHAVIORAL GROUP PLLC

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

## Provider details

- **NPI number:** 1467300475
- **Authorized official:** DEANA HOLLAND FLYNN PMHNP (ORGANIZING MEMBER)
- **Authorized official phone:** (910) 536-1719

## Contact information

- **Practice address:** 4904 FAYETTEVILLE RD STE A, LUMBERTON, NC 28358-2146
- **Practice address phone:** (910) 536-1719
- **Practice address fax:** (910) 668-8048
- **Mailing address:** 4904 FAYETTEVILLE RD STE A, LUMBERTON, NC 28358-2146
- **Mailing address phone:** (910) 536-1719
- **Mailing address fax:** (910) 668-8048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/17/2026
- **Last updated:** 03/17/2026