Resilience Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

66476 Issued in TX

Legal business name

RESILIENCE COUNSELING LLC

Practice address

1161 SW Wilshire Blvd
Suite 136
Burleson, TX 76028-5707

Phone

(817) 426-5051

Fax

(817) 420-4307

NPI assigned

Feb 7, 2013

Last updated

Feb 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Clark Jr., MA LPC

Title

Sole Member

Phone

(817) 426-5051

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Betty Karen Griswell, MA, LPC

  • Professional Counselor
  • Cleburne, TX
  • NPI 1972613164
  NPD (past)

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1821337056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1161 SW WILSHIRE BLVD",
            "address_2": "SUITE 136",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285707",
            "telephone_number": "817-426-5051",
            "fax_number": "817-420-4307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 SW WILSHIRE BLVD",
            "address_2": "SUITE 136",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760285707",
            "telephone_number": "817-426-5051",
            "fax_number": "817-420-4307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "817-426-5051",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MA LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "66476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Burleson, TX
• Providers in Burleson, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.