# FORTITUDE MARRIAGE AND FAMILY THERAPY INCORPORATED

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FORTITUDE MARRIAGE AND FAMILY THERAPY INCORPORATED
- **Other names:** Fortitude Therapy Collective
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1730947441
- **Legal business name:** FORTITUDE MARRIAGE AND FAMILY THERAPY INCORPORATED
- **Authorized official:** GINO ANTHONY MEMOLI III (CEO)
- **Authorized official phone:** (805) 235-7792

## Contact information

- **Practice address:** 11549 LOS OSOS VALLEY RD STE 103, SAN LUIS OBISPO, CA 93405-6457
- **Practice address phone:** (805) 235-7792
- **Mailing address:** 11549 LOS OSOS VALLEY RD STE 103, SAN LUIS OBISPO, CA 93405-6457
- **Mailing address phone:** (805) 235-7792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 03/07/2024
- **Last updated:** 02/26/2026