Provider Demographics
NPI:1598484545
Name:RELENTLESS RESILIENCE PSYCHOTHERAPY, CONSULTING, AND SUPERVISION, PLLC
Entity Type:Organization
Organization Name:RELENTLESS RESILIENCE PSYCHOTHERAPY, CONSULTING, AND SUPERVISION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:E
Authorized Official - Last Name:GROVE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:312-351-9581
Mailing Address - Street 1:3305 W CATALPA AVE UNIT 1
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-4601
Mailing Address - Country:US
Mailing Address - Phone:312-351-9581
Mailing Address - Fax:
Practice Address - Street 1:3305 W CATALPA AVE UNIT 1
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60625-4601
Practice Address - Country:US
Practice Address - Phone:312-351-9581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2022-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty