Resilient Life Family Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RESILIENT LIFE FAMILY THERAPY

Practice address

2521 Pond Dr N
Wilson, NC 27896-1705

Phone

(919) 432-8056

NPI assigned

Apr 21, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Katlyn McKinney Davis, LCMHCNPI 1417452517

Title

Owner

Phone

(919) 432-8056

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katlyn McKinney Davis, LPCA

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1417452517

  Mental Health

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1745193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745193600000",
    "number": "1225824741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 WAKE FOREST RD STE 349",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276090010",
            "telephone_number": "919-432-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 POND DR N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278961705",
            "telephone_number": "919-432-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT LIFE FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-21",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-20",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "KATLYN",
        "authorized_official_middle_name": "MCKINNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-432-8056",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Farler Reichard, MS,CCC-SLP
• Iris Reid
• Reids Health Care
• Aquiel Imari Reinhardt
• Rebekah Marie Reinhold, LMBT
• Restoration Support Services LLC
• Restorative Mind, Restorative Body Therapeutics LLC
• Rha Behavioral Health NC LLC
• Rha Health Services, Inc
• Cindy R Rhodes, MED, RD, LDN

• All providers in Wilson, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.