Provider Demographics
NPI:1407478654
Name:RESILIENCY SPEAKS, LLC
Entity Type:Organization
Organization Name:RESILIENCY SPEAKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER, CEO, &THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SHAVA
Authorized Official - Middle Name:
Authorized Official - Last Name:CURETON-CLARK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:404-254-6696
Mailing Address - Street 1:1400 VETERANS MEMORIAL HIGHWAY
Mailing Address - Street 2:SUITE 134- # 171
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-2579
Mailing Address - Country:US
Mailing Address - Phone:404-254-6696
Mailing Address - Fax:
Practice Address - Street 1:1400 VETERANS MEMORIAL HWY SE STE 134
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-2952
Practice Address - Country:US
Practice Address - Phone:404-254-6696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-11
Last Update Date:2020-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health