Provider Demographics
NPI:1427594951
Name:RESILIENCE
Entity Type:Organization
Organization Name:RESILIENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LEAD CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:IRENE
Authorized Official - Middle Name:K
Authorized Official - Last Name:KOVACS-DONAGHY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:215-512-6135
Mailing Address - Street 1:2109 BERRY DR
Mailing Address - Street 2:
Mailing Address - City:HATFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19440-2104
Mailing Address - Country:US
Mailing Address - Phone:215-512-6135
Mailing Address - Fax:
Practice Address - Street 1:1816 W POINT PIKE
Practice Address - Street 2:SUITE 208
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-5696
Practice Address - Country:US
Practice Address - Phone:215-512-6135
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-08
Last Update Date:2017-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC004455261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health