Cannon Resilient Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

CANNON RESILIENT SERVICES, LLC

Practice address

3552 Collins Blvd Ste D
Chesapeake, VA 23321-5264

Phone

(757) 529-0050

NPI assigned

Oct 3, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Teionna Cannon, M.ED., CSAC, HS-BCP

Title

Ceo

Phone

(757) 529-0050

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.

• Teionna Cannnon

  • Counselor
  • Chesapeake, VA
  • NPI 1417744939
  NPD

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

{
    "created_epoch": "1727913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1841019213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3552 COLLINS BLVD STE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215264",
            "telephone_number": "757-529-0050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3552 COLLINS BLVD STE D",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233215264",
            "telephone_number": "757-529-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANNON RESILIENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-03",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "TEIONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-529-0050",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., CSAC, HS-BCP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Teionna Cannnon
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• Community/Behavioral Health Agency in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Community/Behavioral Health Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.