Provider Demographics
NPI:1760683502
Name:THE RESILIENCY INSTITIUTE
Entity Type:Organization
Organization Name:THE RESILIENCY INSTITIUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CAPACHIONE
Authorized Official - Suffix:
Authorized Official - Credentials:MED LPC
Authorized Official - Phone:912-429-2596
Mailing Address - Street 1:PO BOX 1904
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31521-1904
Mailing Address - Country:US
Mailing Address - Phone:912-466-8022
Mailing Address - Fax:912-466-8023
Practice Address - Street 1:501 MANSFIELD ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520
Practice Address - Country:US
Practice Address - Phone:912-466-8022
Practice Address - Fax:912-466-8023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health