Healthcare Provider Details

I. General information

NPI: 1386575314
Provider Name (Legal Business Name): FORTRESS MENTAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 N PINE ST STE 200
CHASKA MN
55318-1965
US

IV. Provider business mailing address

500 N PINE ST STE 200
CHASKA MN
55318-1965
US

V. Phone/Fax

Practice location:
  • Phone: 952-373-1263
  • Fax:
Mailing address:
  • Phone: 952-373-1263
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMY ELIZABETH SPIVEY
Title or Position: OWNER
Credential: MA, LMFT
Phone: 952-373-1263