Provider Demographics
NPI:1649069683
Name:RESILIENCE WELLNESS CENTER, PLLC
Entity type:Organization
Organization Name:RESILIENCE WELLNESS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILDEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:480-465-1167
Mailing Address - Street 1:15150 W PARK PL FL 2
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2385
Mailing Address - Country:US
Mailing Address - Phone:480-955-1125
Mailing Address - Fax:
Practice Address - Street 1:15150 W PARK PL FL 2
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-2385
Practice Address - Country:US
Practice Address - Phone:480-955-1125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health