Resilience Therapeutic Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RESILIENCE THERAPEUTIC SERVICES, LLC

Practice address

3695 Sunset Ave Unit 8913
Rocky Mount, NC 27804-0285

Phone

(252) 406-2804

NPI assigned

Feb 4, 2025

Organization subpart

No

Name

Nathaline IgnacioNPI 1912349036

Title

Owner/Provider

Phone

(252) 406-2804

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

• Nathaline Ignacio, LPCA

  • Professional Counselor
  • Goldsboro, NC
  • NPI 1912349036
  NPD Authorized official

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2025.

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738627200000",
    "number": "1962216630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3695 SUNSET AVE UNIT 8913",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3695 SUNSET AVE UNIT 8913",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278040285",
            "telephone_number": "252-406-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCE THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A",
        "authorized_official_last_name": "IGNACIO",
        "authorized_official_first_name": "NATHALINE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "252-406-2804"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Purvis Reese, PTA
• Rehab Revolution Inc.
• Rejuvenation of Self Enjoyment
• Nesha Rekeweg, RPH
• Resilience Behavioral Health, PLLC
• Donna M Resner, DDS
• Respracare Inc
• Restart Inc. Rocky Mt
• Revolutionai Io Incoporated
• Revolutionai Io Incoporated

• All providers in Rocky Mount, NC
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2025; 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.