Provider Demographics
NPI:1972819753
Name:RESOURCEFUL SOLUTIONS II
Entity Type:Organization
Organization Name:RESOURCEFUL SOLUTIONS II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPLE
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:LORALL
Authorized Official - Last Name:TYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-213-5501
Mailing Address - Street 1:405 CHERRY ST
Mailing Address - Street 2:SUITE 345
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-3320
Mailing Address - Country:US
Mailing Address - Phone:980-213-5501
Mailing Address - Fax:704-563-3356
Practice Address - Street 1:405 CHERRY ST
Practice Address - Street 2:SUITE 345
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-3320
Practice Address - Country:US
Practice Address - Phone:980-213-5501
Practice Address - Fax:704-563-3356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-31
Last Update Date:2010-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health