Provider Demographics
NPI:1538643184
Name:RESILIENT CONNECTIONS, PLLC
Entity Type:Organization
Organization Name:RESILIENT CONNECTIONS, PLLC
Other - Org Name:JANET MOCZULEWSKI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:MOCZULEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:206-817-5616
Mailing Address - Street 1:640 NW GILMAN BLVD # 101
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-2476
Mailing Address - Country:US
Mailing Address - Phone:206-817-5616
Mailing Address - Fax:
Practice Address - Street 1:640 NW GILMAN BLVD STE 101
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-2476
Practice Address - Country:US
Practice Address - Phone:206-817-5616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-19
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty