Provider Demographics
NPI:1295091619
Name:RESILIENCY COUNSELING, LLC
Entity type:Organization
Organization Name:RESILIENCY COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR/THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:ROLDAN
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCMFT
Authorized Official - Phone:816-694-9275
Mailing Address - Street 1:4131 N MULBERRY DR
Mailing Address - Street 2:SUITE 245
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64116-1871
Mailing Address - Country:US
Mailing Address - Phone:816-694-9275
Mailing Address - Fax:
Practice Address - Street 1:7940 PARALLEL PKWY
Practice Address - Street 2:SUITE 1
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66112-2050
Practice Address - Country:US
Practice Address - Phone:816-694-9275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-10
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS813106H00000X
MO2006012562101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty