Provider Demographics
NPI:1265856801
Name:RESILIENCY AND HEALTH INSTITUTE, LLC
Entity Type:Organization
Organization Name:RESILIENCY AND HEALTH INSTITUTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:FUERST
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LP
Authorized Official - Phone:651-714-3848
Mailing Address - Street 1:700 COMMERCE DR
Mailing Address - Street 2:SUITE 290
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-9232
Mailing Address - Country:US
Mailing Address - Phone:651-714-3848
Mailing Address - Fax:651-344-0820
Practice Address - Street 1:700 COMMERCE DR
Practice Address - Street 2:SUITE 290
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-9232
Practice Address - Country:US
Practice Address - Phone:651-714-3848
Practice Address - Fax:651-344-0820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-18
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNLP5261103TC1900X
MNLP5109103TC1900X
MNLMFT 1379106H00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty