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General NPI Number Information
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NPI Number | 1184569576
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Entity Type | Organization
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Legal Business Name | MENTAL FORTITUDE THERAPY
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 2438 WINWOOD AVE
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City | MORAINE
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State | OH
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Zip | 45439-2846
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Country | US
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Telephone | 937-814-9296
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Fax | 937-814-9296
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Provider Business Mailing Address
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Address Line | 707 MIAMISBURG CENTERVILLE RD # 124
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City | CENTERVILLE
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State | OH
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Zip | 45459-6522
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Country | US
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Telephone | 937-814-9296
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Fax | 937-814-9296
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Authorized Official
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Title or Position | OWNER
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Name | MR. KEVIN RICHARD FOLEY
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Credential | LPCC LICDC
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Telephone | 937-814-9296
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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