Resiliency Mental Health Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESILIENCY MENTAL HEALTH SERVICES LLC

Practice address

426 E Freemason St Ste 250
Norfolk, VA 23510-2688

Phone

(757) 672-4386

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Joseph Harris Jr., LSCW

Title

Owner

Phone

(757) 672-4386

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1346893500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 EARLE CT",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236088925",
            "telephone_number": "757-672-4386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "426 E FREEMASON ST STE 250",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102688",
            "telephone_number": "757-672-4386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCY MENTAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-672-4386",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LSCW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "601333373",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://secure.simplepractice.com/clients",
            "affiliation": "N",
            "endpointDescription": "EHR- Simple Practice",
            "address_1": "426 E Freemason St Ste 250",
            "city": "Norfolk",
            "state": "VA",
            "country_code": "US",
            "postal_code": "235102688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diedre Ann Renstrom, NNP
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• Lindsey Reprogle, PHYSICIAN ASSISTANT
• Kyle Resendes, MD
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• Clinical Social Worker in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.