Provider Demographics
NPI:1619526894
Name:RESILIENT MIND COUNSELING
Entity Type:Organization
Organization Name:RESILIENT MIND COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:JOBMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PLMHP, PLADC,PCMSW
Authorized Official - Phone:402-304-0748
Mailing Address - Street 1:2554 SW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68522-2455
Mailing Address - Country:US
Mailing Address - Phone:402-304-0748
Mailing Address - Fax:
Practice Address - Street 1:2554 SW 19TH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68522
Practice Address - Country:US
Practice Address - Phone:402-304-0748
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health