Provider Demographics
NPI:1699413252
Name:RESILIENT RESPONDERS AND WARRIORS COUNSELING AND CONSULTATION
Entity Type:Organization
Organization Name:RESILIENT RESPONDERS AND WARRIORS COUNSELING AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/OWNER AND THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:DELANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SPEARS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-537-0134
Mailing Address - Street 1:3047 SHERATON CT APT D
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97504-9216
Mailing Address - Country:US
Mailing Address - Phone:541-299-2935
Mailing Address - Fax:
Practice Address - Street 1:3047 SHERATON CT APT D
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97504-9216
Practice Address - Country:US
Practice Address - Phone:541-299-2935
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)