Active NPI
Resilience Renewed LLC
- Case Management Agency
- Fort Worth, TX
National Provider Identifier
1972312932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- RESILIENCE RENEWED LLC
- Practice address
- 2200 Evans Ave Ste 12
Fort Worth, TX 76104-6066 - Phone
- (469) 616-1969
- NPI assigned
- Jan 4, 2025
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dushawn Wright
- Title
- Director
- Phone
- (469) 616-1969
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Peer Specialist
- Fort Worth, TX
- NPI 1366258014
National Provider Directory
National Provider DirectorySpecialties & licenses 10
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Peer Specialist | 175T00000X | |||
| Case Management Agency | 251B00000X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Recovery Care Clinic/Center | 261QR0800X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
NPPES NPI RegistryPrimary practice location
2200 Evans Ave Ste 12
Fort Worth, TX 76104-6066
Mailing address
539 W Commerce St Ste 2241
Dallas, TX 75208-1953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 6, 2025.
{
"created_epoch": "1735948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1746489600000",
"number": "1972312932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "539 W COMMERCE ST STE 2241",
"city": "DALLAS",
"state": "TX",
"postal_code": "752081953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 EVANS AVE STE 12",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761046066",
"telephone_number": "469-616-1969"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RESILIENCE RENEWED LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-04",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A",
"authorized_official_last_name": "WRIGHT",
"authorized_official_first_name": "DUSHAWN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "469-616-1969"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Recovery Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.