Fortune, Carol G

Fortune, Carol G is an sole proprietor health care provider with primary practice located at 1522 Golden Ridge Dr , Lady Lake FL 32162-6765. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fortune, Carol G can be contacted via phone (352) 638-2264.

Contact Information

Primary practice address
1522 Golden Ridge Dr Lady Lake FL 32162-6765
Phone: (352) 638-2264
Fax: (352) 259-4050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X SW8072 Florida
Behavioral Health & Social Service Providers / Clinical 1041C0700X 103065 Massachusetts

Profile Details

NPI number 1578673083
LBN Legal business name Fortune, Carol G
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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