Organization
FORTITUDE MENTAL HEALTH SERVICES L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN RUDEN LMHC (OWNER)
(712) 541-2597
Entity
Organization
Contact information
Practice address
30 5TH AVE SE, LE MARS, IA 51031-3740
(712) 541-2597
Mailing address
30 5TH AVE SE, LE MARS, IA 51031-3740
(712) 541-2597
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
001719
IA
251S00000X
Community/Behavioral Health Agency
Primary
001719
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13575944
CAQH
IA
01
—
1689924466
NPI
IA
05
—
600849393
—
IA
Enumeration date
06/14/2016
Last updated
05/19/2025
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