Provider Demographics
NPI:1720446065
Name:RESOLVE COUNSELING LLC
Entity Type:Organization
Organization Name:RESOLVE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATING MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BHATIA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:407-302-7732
Mailing Address - Street 1:248 LESLIE LN
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-3845
Mailing Address - Country:US
Mailing Address - Phone:407-302-7732
Mailing Address - Fax:
Practice Address - Street 1:549 N WYMORE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4203
Practice Address - Country:US
Practice Address - Phone:407-801-6210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2458251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health