Resilient Recovery Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RESILIENT RECOVERY MENTAL HEALTH LLC

Practice address

1007 Gould Dr Ste 3
Bossier City, LA 71111-4971

Phone

(318) 422-7154

Fax

(850) 203-1448

NPI assigned

Jul 15, 2024

Last updated

Jul 15, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. June S Stevens, MA

Title

Administrator

Phone

(318) 422-7154

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Zachary Blake Fussell, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shreveport, LA
  • NPI 1861114407
  Medicare reassignment NPD
• Kimberly Forcinel, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Shreveport, LA
  • NPI 1124406400
  NPD (past)
• Janice Wilson Hollier, M.D.

  • Psychiatry Physician
  • Shreveport, LA
  • NPI 1679542773
  NPD (past)

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1679311609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5498",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711715498",
            "telephone_number": "318-422-7154",
            "fax_number": "850-203-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 GOULD DR STE 3",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711114971",
            "telephone_number": "318-422-7154",
            "fax_number": "850-203-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT RECOVERY MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "STEVENS",
        "authorized_official_first_name": "JUNE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-422-7154",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hunter C Reeve, BCBA
• Kaylea Reeves, BCABA
• Lannette Reeves, PHARMD
• Regional Lactation
• Rehoboth Equipment, Inc.
• Resilient Roots Social Work Services, LLC (Resilient Roots Counseling)
• Restoring Light Counseling, LLC (Restoring Light Counseling)
• Lavon Machell Rhodes
• Erin Elizabeth Richard, NP
• Meghan Richard

• Psychiatric/Mental Health Nurse Practitioner in Bossier City, LA
• Providers in Bossier City, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.