Organization
FORTIS BEHAVIORAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANA HOLLAND FLYNN PMHNP (ORGANIZING MEMBER)
(910) 536-1719
Entity
Organization
Contact information
Practice address
4904 FAYETTEVILLE RD STE A, LUMBERTON, NC 28358-2146
(910) 536-1719
(910) 668-8048
Mailing address
4904 FAYETTEVILLE RD STE A, LUMBERTON, NC 28358-2146
(910) 536-1719
(910) 668-8048
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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