Provider Demographics
NPI:1518239839
Name:NATURAL RESILIENCE LLC
Entity Type:Organization
Organization Name:NATURAL RESILIENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:FREY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-208-2833
Mailing Address - Street 1:2000 COOMBS FARM ROAD
Mailing Address - Street 2:SUITE 106B
Mailing Address - City:MORGANTOWN
Mailing Address - State:WV
Mailing Address - Zip Code:26508-1126
Mailing Address - Country:US
Mailing Address - Phone:304-381-2211
Mailing Address - Fax:304-206-3121
Practice Address - Street 1:2000 COOMBS FARM ROAD
Practice Address - Street 2:SUITE 106B
Practice Address - City:MORGANTOWN
Practice Address - State:WV
Practice Address - Zip Code:26508-1126
Practice Address - Country:US
Practice Address - Phone:304-381-2211
Practice Address - Fax:304-206-3121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-01
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1998261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health