Provider Demographics
NPI:1417665068
Name:RESILIENCE COUNSELING AND FORENSIC CONSULTING, LLC
Entity Type:Organization
Organization Name:RESILIENCE COUNSELING AND FORENSIC CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:RAINEY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:989-259-4005
Mailing Address - Street 1:401 N KIESEL ST
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-4317
Mailing Address - Country:US
Mailing Address - Phone:989-259-4005
Mailing Address - Fax:
Practice Address - Street 1:800 S EUCLID AVE STE 6
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-3355
Practice Address - Country:US
Practice Address - Phone:989-259-4005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)