Organization Active NPI

The Resilient Life Organzation

  • Community/Behavioral Health Agency
  • Pearl City, HI
National Provider Identifier
1306614805
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE RESILIENT LIFE ORGANZATION
Practice address
950 Kamehameha Hwy Unit 962
Pearl City, HI 96782-5042
Phone
(808) 494-1528
Fax
(808) 210-6095
NPI assigned
Dec 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Alicia Fu, LMHCNPI 1487200374
Title
Owner
Phone
(808) 392-3330

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

950 Kamehameha Hwy Unit 962
Pearl City, HI 96782-5042

Mailing address

PO Box 962
Pearl City, HI 96782-0962
Phone (808) 392-3330

National Provider Directory

National Provider Directory
Tax ID family
The Resilient Life Organzation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

950 Kamehameha Hwy
Unit 962
Pearl City, HI 96782
Phone (808) 494-1528

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1306614805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 962",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967820962",
            "telephone_number": "808-392-3330",
            "fax_number": "808-210-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 KAMEHAMEHA HWY UNIT 962",
            "city": "PEARL CITY",
            "state": "HI",
            "postal_code": "967825042",
            "telephone_number": "808-494-1528",
            "fax_number": "808-210-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RESILIENT LIFE ORGANZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "FU",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-392-3330",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl City, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.