Provider Demographics
NPI:1942974852
Name:RESILIENT HEART THERAPY, AN INDIVIDUAL AND FAMILY THERAPY CORP.
Entity Type:Organization
Organization Name:RESILIENT HEART THERAPY, AN INDIVIDUAL AND FAMILY THERAPY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:TARNOFSKY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:908-230-5774
Mailing Address - Street 1:4016 SUNSET AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CA
Mailing Address - Zip Code:91020-1816
Mailing Address - Country:US
Mailing Address - Phone:908-230-5774
Mailing Address - Fax:
Practice Address - Street 1:4016 SUNSET AVE UNIT B
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1816
Practice Address - Country:US
Practice Address - Phone:908-230-5774
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty