Organization · Type 2 NPI
Fortiva Therapy
Mental Health Counselor · Hermosa Beach, CA
NPI number
1134940463
Active
Practice location
2615 Pacific Coast Hwy Ste 225
Hermosa Beach, CA 90254-2228
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
| Professional Counselor | 101YP2500X | None listed |
| Marriage & Family Therapist | 106H00000X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1134940463
Fortiva Therapy's National Provider Identifier is 1134940463, issued on Oct 19, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hermosa Beach, CA. The record was last updated on Jul 17, 2025.