Organization · Type 2 NPI

Fortitude Marriage and Family Therapy Incorporated

Marriage & Family Therapist · San Luis Obispo, CA

NPI number 1730947441 Active

Practice location

11549 Los Osos Valley Rd Ste 103
San Luis Obispo, CA 93405-6457

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	None listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

5 other providers at this address

Other marriage & family therapist providers in San Luis Obispo

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NPI record

NPI: 1730947441
Entity type: Organization (Type 2)
Issued: Mar 7, 2024
Last updated: Feb 26, 2026
Status: Active
Subpart: Yes of Fortitude Marriage and Family Therapy Incorporated

Other names

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Fortitude Therapy Collective · doing business as

Authorized official

Gino Anthony Memoli
CEO
(805) 235-7792

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730947441

Fortitude Marriage and Family Therapy Incorporated's National Provider Identifier is 1730947441, issued on Mar 7, 2024. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Feb 26, 2026.