Organization Active NPI

Resilience Trauma Therapy LLC

Doing business as Resilience Trauma Therapy

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1326774464
Registry record updated Jul 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESILIENCE TRAUMA THERAPY LLC
Doing business as
Resilience Trauma Therapy
Practice address
1117 22ND St S Ste 207
Birmingham, AL 35205-2813
Phone
(205) 922-3429
NPI assigned
Jul 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2022

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

Authorized official

Name
Paige Wilson, LICSWNPI 1306433222
Title
Owner
Phone
(616) 566-7194

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1117 22ND St S Ste 207
Birmingham, AL 35205-2813

Mailing address

1117 22ND St S Ste 207
Birmingham, AL 35205-2813
Phone (205) 922-3429

Other names 1

  • Resilience Trauma Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1117 22nd St S
Ste 207
Birmingham, AL 35205
Phone (205) 922-3429

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": "1659139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659139200000",
    "number": "1326774464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 22ND ST S STE 207",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052813",
            "telephone_number": "205-922-3429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 22ND ST S STE 207",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052813",
            "telephone_number": "205-922-3429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE TRAUMA THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-30",
        "last_updated": "2022-07-30",
        "certification_date": "2022-07-30",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "PAIGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-566-7194",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resilience Trauma Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2022; 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.