Provider Demographics
NPI:1750109385
Name:RESILIENT LIFE INTEGRATIVE HEALTH CARE LLC R E L I H C
Entity type:Organization
Organization Name:RESILIENT LIFE INTEGRATIVE HEALTH CARE LLC R E L I H C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ESTER
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-427-5655
Mailing Address - Street 1:7000 N COTTON LN UNIT 450
Mailing Address - Street 2:
Mailing Address - City:WADDELL
Mailing Address - State:AZ
Mailing Address - Zip Code:85355-8018
Mailing Address - Country:US
Mailing Address - Phone:623-252-6576
Mailing Address - Fax:
Practice Address - Street 1:7000 N COTTON LN UNIT 450
Practice Address - Street 2:
Practice Address - City:WADDELL
Practice Address - State:AZ
Practice Address - Zip Code:85355-8018
Practice Address - Country:US
Practice Address - Phone:623-252-6576
Practice Address - Fax:623-232-9869
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty