Provider Demographics
NPI:1164975058
Name:RESILIENCE COUNSELING LLC
Entity Type:Organization
Organization Name:RESILIENCE COUNSELING LLC
Other - Org Name:KATHERINE ANDREWS
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:308-962-6561
Mailing Address - Street 1:71727 RD 420
Mailing Address - Street 2:
Mailing Address - City:HOLBROOK
Mailing Address - State:NE
Mailing Address - Zip Code:68948
Mailing Address - Country:US
Mailing Address - Phone:308-962-6561
Mailing Address - Fax:
Practice Address - Street 1:71727 RD 420
Practice Address - Street 2:
Practice Address - City:HOLBROOK
Practice Address - State:NE
Practice Address - Zip Code:68948
Practice Address - Country:US
Practice Address - Phone:308-962-6561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS2464251S00000X
NE1423251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health