Organization Active NPI

Resiliency Family Therapy, PLLC

  • Clinical Social Worker
  • Cornelius, NC
National Provider Identifier
1346061074
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RESILIENCY FAMILY THERAPY, PLLC
Practice address
8226 Village Harbor Dr
Cornelius, NC 28031-3706
Phone
(704) 897-7287
NPI assigned
Oct 24, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Adam LevineNPI 1043468663
Title
Owner/Provider
Phone
(704) 897-7287

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8226 Village Harbor Dr
Cornelius, NC 28031-3706

Mailing address

8226 Village Harbor Dr
Cornelius, NC 28031-3706

National Provider Directory

National Provider Directory

Locations

8226 Village Harbor Dr
Cornelius, NC 28031
Phone (704) 897-7287

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": "1729728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1346061074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8226 VILLAGE HARBOR DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280313706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8226 VILLAGE HARBOR DR",
            "city": "CORNELIUS",
            "state": "NC",
            "postal_code": "280313706",
            "telephone_number": "704-897-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCY FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "704-897-7287"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornelius, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; 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.