Organization
FORTIS THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDI K BELL LCSW (PROVIDER/OWNER)
(307) 675-1275
Entity
Organization
Contact information
Practice address
1949 SUGARLAND DR STE 221, SHERIDAN, WY 82801-5766
(307) 675-1275
(307) 675-1276
Mailing address
1949 SUGARLAND DR STE 221, SHERIDAN, WY 82801-5766
(307) 675-1275
(307) 675-1276
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LCSW
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130795900
—
WY
Enumeration date
04/10/2018
Last updated
04/10/2018
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