Organization
FORTITUDE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ANN BURNS LPC, LCAS (OWNER)
(336) 609-3737
Entity
Organization
Contact information
Practice address
615 SAINT GEORGE SQUARE CT, WINSTON SALEM, NC 27103-1356
(336) 609-3737
Mailing address
5129 W US HIGHWAY 64, LEXINGTON, NC 27295-6981
(336) 609-3737
(336) 232-1368
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-3347
NC
101YP2500X
Professional Counselor
Primary
10452
NC
Other
Enumeration date
07/26/2017
Last updated
08/24/2017
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