Provider Demographics
NPI:1326656752
Name:RESILIENT SELF COUNSELING PLLC
Entity Type:Organization
Organization Name:RESILIENT SELF COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARA
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:CAPIZZANO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:860-709-2244
Mailing Address - Street 1:42 OVERLOOK TER
Mailing Address - Street 2:
Mailing Address - City:SIMSBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06070-2739
Mailing Address - Country:US
Mailing Address - Phone:860-709-2244
Mailing Address - Fax:
Practice Address - Street 1:12 PINE GLEN RD
Practice Address - Street 2:
Practice Address - City:SIMSBURY
Practice Address - State:CT
Practice Address - Zip Code:06070-2714
Practice Address - Country:US
Practice Address - Phone:860-709-2244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-22
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty