Organization Active NPI

Resurgence Counseling LLC

  • Mental Health Counselor
  • Panama City, FL
National Provider Identifier
1760015408
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESURGENCE COUNSELING LLC
Practice address
272 Forest Park Circle
Panama City, FL 32405-0000
Phone
(850) 247-9559
Fax
(850) 248-2469
NPI assigned
Feb 21, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Authorized official

Name
Mrs. Patricia Alday, LMHCNPI 1114354016
Title
Owner
Phone
(850) 247-9559

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

272 Forest Park Circle
Panama City, FL 32405-0000

Mailing address

2686 Chapman Dr
Panama City, FL 32405-4914

National Provider Directory

National Provider Directory

Locations

272 Forest Park Cir
Panama City, FL 32405
Phone (850) 247-9559

2686 Chapman Dr
Panama City, FL 32405
Phone (850) 784-0070

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": "1582243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727222400000",
    "number": "1760015408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2686 CHAPMAN DR",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324054914",
            "fax_number": "850-740-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 FOREST PARK CIRCLE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324050000",
            "telephone_number": "850-247-9559",
            "fax_number": "850-248-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESURGENCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-21",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "ALDAY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-247-9559",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.