Organization
FORTENBERRY COUNSELING AND CONSULTING SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAYLA R FORTENBERRY MA, ED.S., LPC (OWNER / THERAPIST)
(864) 494-5462
Entity
Organization
Contact information
Practice address
880 S PLEASANTBURG DR STE 4F, GREENVILLE, SC 29607-2453
(864) 494-5462
Mailing address
111 MADISON RIDGE RD, PIEDMONT, SC 29673-7915
(864) 494-5462
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6611
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1840
—
SC
Enumeration date
03/23/2018
Last updated
03/23/2018
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