Organization
FORTITUDE COUNSELING ASSOCIATES, PLLC
Active
Organization
FORTITUDE COUNSELING ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWN JONES LCMHC (CEO/DIRECTOR)
(910) 286-9730
Entity
Organization
Contact information
Practice address
100 WESTLAKE RD STE 102, FAYETTEVILLE, NC 28314-4871
(910) 286-9730
(833) 299-8421
Mailing address
100 WESTLAKE RD STE 102, FAYETTEVILLE, NC 28314-4871
(910) 286-9730
(833) 299-8421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
10707
NC
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
1223G0001X
General Practice Dentistry
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363AM0700X
Medical Physician Assistant
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972918290
—
NC
Enumeration date
11/29/2016
Last updated
09/07/2022
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