Resolute Addiction and Behavioral Health PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

RESOLUTE ADDICTION AND BEHAVIORAL HEALTH PLLC

Practice address

319 Industrial Dr
Longview, TX 75602-4721

Phone

(903) 213-9120

Fax

(903) 331-0439

NPI assigned

May 3, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Jeremiah Sanders, APRN, PMHNP-BCNPI 1902392871

Title

Owner

Phone

(903) 213-9120

Specialties & licenses 1

Addresses

Other names 1

• Resolute Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Jeremiah R Sanders, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Longview, TX
  • NPI 1902392871

  Psychiatric/Mental Health

  NPD Authorized official
• Robin Diane Hughes, LPC

  • Professional Counselor
  • Longview, TX
  • NPI 1609471416

  Single Specialty

  NPD
• Robin Turner Watson, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Longview, TX
  • NPI 1205386349

  Psychiatric/Mental Health

  NPD
• Nelly Zuniga, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Longview, TX
  • NPI 1194405803

  Psychiatric/Mental Health

  NPD
• Jonathan Clay Lockhart, M.D.

  • Psychiatry Physician
  • Longview, TX
  • NPI 1679678403
  NPD (past)

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

{
    "created_epoch": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1740925759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W METHVIN ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 INDUSTRIAL DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756024721",
            "telephone_number": "903-213-9120",
            "fax_number": "903-331-0439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESOLUTE ADDICTION AND BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JEREMIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-213-9120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Resolute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Resolute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Longview, TX
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.