Provider Demographics
NPI:1356088009
Name:RESILIENT JOURNEY, LLC
Entity Type:Organization
Organization Name:RESILIENT JOURNEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LILIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:RODRIGUEZ-BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-592-6670
Mailing Address - Street 1:12750 JEFFERSON DAVIS HWY STE 224
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-5308
Mailing Address - Country:US
Mailing Address - Phone:804-592-6670
Mailing Address - Fax:
Practice Address - Street 1:12255 DECLARATION AVE
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23836-3057
Practice Address - Country:US
Practice Address - Phone:917-655-4953
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-15
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty