Resiliency Well LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RESILIENCY WELL LLC

Practice address

4519 Woodbine Rd
Pace, FL 32571-8706

Phone

(850) 778-3747

NPI assigned

Nov 30, 2022

Organization subpart

No

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

Authorized official

Name

Jenna Vaughn, LMHC

Title

Therapist/ Owner

Phone

(850) 778-3747

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jennifer Ann Vaughn, MS, LMHC

  • Mental Health Counselor
  • Milton, FL
  • NPI 1447508452
  NPD

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669766400000",
    "number": "1700596863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718706",
            "telephone_number": "850-778-3747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 WOODBINE RD",
            "city": "PACE",
            "state": "FL",
            "postal_code": "325718706",
            "telephone_number": "850-778-3747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCY WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-11-30",
        "certification_date": "2022-11-30",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "JENNA",
        "authorized_official_title_or_position": "THERAPIST/ OWNER",
        "authorized_official_telephone_number": "850-778-3747",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jenna Reis, M.S. CCC-SLP
• Richard S. Slevinski, MD PA
• Candice Richard, LPN
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• Robert C Pyle MD LLC

• Mental Health Counselor in Pace, FL
• Providers in Pace, FL by specialty
• Mental Health Counselor in Florida

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