Provider Demographics
NPI:1265216436
Name:RESILIENCY RISING LLC
Entity type:Organization
Organization Name:RESILIENCY RISING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-481-4639
Mailing Address - Street 1:PO BOX 426
Mailing Address - Street 2:
Mailing Address - City:HAILEY
Mailing Address - State:ID
Mailing Address - Zip Code:83333-0400
Mailing Address - Country:US
Mailing Address - Phone:208-481-4639
Mailing Address - Fax:
Practice Address - Street 1:208 SPRUCE AVE. N.
Practice Address - Street 2:
Practice Address - City:KETCHUM
Practice Address - State:ID
Practice Address - Zip Code:83340
Practice Address - Country:US
Practice Address - Phone:208-481-4639
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
39026OtherUNITED MEDICAL RESOURCES
ID93029OtherPACIFICSOURCE HEALTH PLANS
IDIDBLCOtherBLUE CROSS BLUE SHIELD OF IDAHO
IDNCBLSOtherBLUE CROSS BLUE SHIELD OF NORTH CAROLINA
IDRGBLSOtherREGENCE BLUE SHIELD OF WASHINGTON
IDIDBLSOtherBLUE SHIELD OF IDAHO
RGA01OtherREGENCE GROUP ADMINISTRATORS
UH107OtherSELECTHEALTH
39026OtherUMR
IDSX155OtherMOUNTAIN HEALTH CO-OP
84076OtherSINCLAIR HEALTH PLAN
IDBLCOtherBLUE CROSS OF IDAHO
WABLCOtherWASHINGTON STATE PREMERA BLUE CROSS
ID60054OtherAETNA
SX155OtherUNIVERSITY OF UTAH HEALTH PLANS
SX155OtherUNIVERSITY OF UTAH
BC001OtherANTHEM BLUE CROSS OF CALIFORNIA
UH107OtherSELECT HEALTH IHC INTERMOUNTAIN HEALTH