Healthcare Provider Details

I. General information

NPI: 1356079172
Provider Name (Legal Business Name): FORTITUDE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 09/27/2026
Certification Date: 09/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3500 S PHILLIPS AVE STE 100
SIOUX FALLS SD
57105-6864
US

IV. Provider business mailing address

3500 S PHILLIPS AVE STE 100
SIOUX FALLS SD
57105-6864
US

V. Phone/Fax

Practice location:
  • Phone: 605-360-1977
  • Fax:
Mailing address:
  • Phone: 605-360-1977
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: MS. CYNTHIA A HOLMQUEST
Title or Position: OWNER/CLINICIAN
Credential: CSW-PIP
Phone: 605-360-1977