Provider Demographics
NPI:1912765595
Name:RESILIENT MENTAL HEALTH CARE SERVICES PLLC
Entity Type:Organization
Organization Name:RESILIENT MENTAL HEALTH CARE SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:ANIEKWENA
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP, DNP
Authorized Official - Phone:509-209-8854
Mailing Address - Street 1:100 N HOWARD ST # 6005
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99201-0508
Mailing Address - Country:US
Mailing Address - Phone:509-209-8854
Mailing Address - Fax:509-209-8857
Practice Address - Street 1:707 W MAIN AVE STE B1
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-0631
Practice Address - Country:US
Practice Address - Phone:509-209-8854
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-08
Last Update Date:2024-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty