Organization Active NPI

Rezilient Healing, LLC

  • Clinical Social Worker
  • Chandler, AZ
National Provider Identifier
1750080503
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
REZILIENT HEALING, LLC
Practice address
2022 N Nevada St Apt 1038
Chandler, AZ 85225-0957
Phone
(480) 453-6489
NPI assigned
Mar 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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

Authorized official

Name
Durina Keyonnie
Title
Owner/ Therapist
Phone
(480) 453-6489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2022 N Nevada St Apt 1038
Chandler, AZ 85225-0957

Mailing address

1900 W Carla Vista Dr Unit 7633
Chandler, AZ 85246-4067
Phone (480) 453-6489

National Provider Directory

National Provider Directory

Locations

1900 W Carla Vista Dr
Unit 7633
Chandler, AZ 85246

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": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1750080503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 W CARLA VISTA DR UNIT 7633",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852464067",
            "telephone_number": "480-453-6489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 N NEVADA ST APT 1038",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852250957",
            "telephone_number": "480-453-6489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZILIENT HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "KEYONNIE",
        "authorized_official_first_name": "DURINA",
        "authorized_official_title_or_position": "OWNER/ THERAPIST",
        "authorized_official_telephone_number": "480-453-6489"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.