Healthy Resolutions Clinic PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HEALTHY RESOLUTIONS CLINIC PLLC

Practice address

2005 Hope Mills Rd
Fayetteville, NC 28304-4224

Phone

(910) 257-0573

NPI assigned

May 5, 2020

Last updated

May 5, 2020By 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

Marina JohnsonNPI 1134568801

Title

Owner

Phone

(910) 257-0573

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Marina Gordula Johnson, LCSW

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1134568801
  Authorized official Same address or phone
• Amanda Lea Feagin, PSY.D.

  • Psychologist
  • Fayetteville, NC
  • NPI 1700911781
  NPD
• Kristen Angelica Weibe, LCMHCA

  • Counselor
  • Fayetteville, NC
  • NPI 1831909563
  NPD

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1841811593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044224",
            "telephone_number": "910-257-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044224",
            "telephone_number": "910-257-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY RESOLUTIONS CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-257-0573"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Heart to Heart Counseling and Wellness Center, PLLC

• Clinical Social Worker in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.