Provider Demographics
NPI:1649770363
Name:RESILIENCE HEALTH, LLC
Entity Type:Organization
Organization Name:RESILIENCE HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:COLLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BEATTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-899-3331
Mailing Address - Street 1:1525 HUGUENOT RD STE 201
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-2438
Mailing Address - Country:US
Mailing Address - Phone:804-415-4113
Mailing Address - Fax:804-414-7580
Practice Address - Street 1:1525 HUGUENOT RD STE 201
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-2438
Practice Address - Country:US
Practice Address - Phone:804-415-4113
Practice Address - Fax:804-414-7580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2019-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty