Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fortiva Therapy

Organization Mental Health Counselor · NPI 1134940463

Fortiva Therapy is a Mental Health Counselor in Hermosa Beach, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
3

Practice location Address checks out

2615 Pacific Coast Hwy Ste 225
Hermosa Beach, CA 90254-2228
Phone: (310) 906-0895
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X
Professional Counselor Taxonomy 101YP2500X
Marriage & Family Therapist Taxonomy 106H00000X

Record details

NPI number1134940463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kelly Hayes — Ceo · (310) 906-0895
NPI enumeratedOctober 19, 2024
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address2615 Pacific Coast Hwy Ste 225, Hermosa Beach, CA 90254-2228

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