Resiliency Road Clinical Services, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RESILIENCY ROAD CLINICAL SERVICES, PLLC

Practice address

1800 Judson Rd Ste 2000
Longview, TX 75605-4743

Phone

(888) 383-3184

NPI assigned

May 21, 2024

Organization subpart

No

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

Authorized official

Name

Brandi Ann Brittain, LCSWNPI 1023692670

Title

Owner

Phone

(903) 720-5863

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 1

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

• Brandi Ann Brittain, LCSW

  • Clinical Social Worker
  • Katy, TX
  • NPI 1023692670

  Clinical, TX

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1716249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716249600000",
    "number": "1801635800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11",
            "city": "ORE CITY",
            "state": "TX",
            "postal_code": "756830011",
            "telephone_number": "888-383-3184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 JUDSON RD STE 2000",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756054743",
            "telephone_number": "888-383-3184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCY ROAD CLINICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "BRITTAIN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-720-5863",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Noel Reid
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• Lakeisha Repress, RN
• Miguel Repress
• Maria Resendez
• Resolute Addiction and Behavioral Health PLLC
• Respira Medical, LP
• Anna Reyes
• Andree Sibille Reynolds, PHYSICAL THERAPIST
• Charles Lee Reynolds, MED, ATC, LAT

• All providers in Longview, TX
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.