Provider Demographics
NPI:1881377497
Name:RESILIENT NOTIONS THERAPY PLLC
Entity type:Organization
Organization Name:RESILIENT NOTIONS THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAYME
Authorized Official - Middle Name:R
Authorized Official - Last Name:STALDER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:931-561-4448
Mailing Address - Street 1:533 SUMMIT VIEW CIR
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5999
Mailing Address - Country:US
Mailing Address - Phone:931-561-4448
Mailing Address - Fax:
Practice Address - Street 1:1824 MEMORIAL DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-4605
Practice Address - Country:US
Practice Address - Phone:931-320-9459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-10
Last Update Date:2023-12-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health