Provider Demographics
NPI:1356158943
Name:RESILIENCY CENTER INC
Entity type:Organization
Organization Name:RESILIENCY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALICIAA
Authorized Official - Middle Name:
Authorized Official - Last Name:CICCONE
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:530-305-9182
Mailing Address - Street 1:409 TILLOTSON PL
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45458-7317
Mailing Address - Country:US
Mailing Address - Phone:937-210-9736
Mailing Address - Fax:
Practice Address - Street 1:5975 KENTSHIRE DR STE A
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-4254
Practice Address - Country:US
Practice Address - Phone:372-109-7369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-17
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty