Provider Demographics
NPI:1700551454
Name:RESILIENCE COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:RESILIENCE COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCQUARTER-COVERT
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC, CRC
Authorized Official - Phone:606-219-5545
Mailing Address - Street 1:671 W HIGHWAY 80 STE 2
Mailing Address - Street 2:
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-1713
Mailing Address - Country:US
Mailing Address - Phone:606-485-4049
Mailing Address - Fax:606-328-5074
Practice Address - Street 1:671 W HIGHWAY 80 STE 2
Practice Address - Street 2:
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-2735
Practice Address - Country:US
Practice Address - Phone:606-219-5455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-14
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty