Organization
KLF COUNSELING & CONSULTING, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY LEE FORTNER EDS LPC CCMHC (PRESIDENT-OWNER)
(843) 240-9446
Entity
Organization
Contact information
Practice address
1107 48TH AVE N, MYRTLE BEACH, SC 29577-5443
(843) 240-9446
(866) 647-6536
Mailing address
PO BOX 7139, MYRTLE BEACH, SC 29572-0007
(843) 240-9446
(866) 647-6536
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
07/22/2020
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