Organization
FORTIFY COUNSELING SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDEE R. SMITH LPC, LCDC (OWNER)
(512) 657-7246
Entity
Organization
Contact information
Practice address
13706 RESEARCH BLVD STE 312, AUSTIN, TX 78750-1840
(512) 900-3415
Mailing address
13706 RESEARCH BLVD STE 312, AUSTIN, TX 78750-1840
(512) 900-3415
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32065919832
PLLC SUB S CORP TAX ID
—
Enumeration date
11/13/2019
Last updated
11/13/2019
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