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NPI Code Detail

MEDICARE: DR. GREGORY FORTUNE LPC, LMHC

MEDICARE: DR. GREGORY FORTUNE LPC, LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor37PC00853400NJ
2101YM0800XMental Health CounselorMH24273FL

General Provider Information

NPI Number : 1326726100
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GREGORY FORTUNE LPC, LMHC
Provider Business Mailing Address
First Line : 1431 SW 9TH AVE
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-6220
Country : US
Telephone Number : 954-518-3281
Fax Number :
Provider Business Practice Location Address
First Line : 1431 SW 9TH AVE
Second Line :
City : DEERFIELD BEACH
State : FL
Zip : 33441-6220
Country : US
Telephone Number : 954-518-3281
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2023
Last Update Date : 05/27/2025

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