Resilia. Llc | |
1 Huntington Rd Ste 205 Athens GA 30606-7206 | |
(706) 395-3091 | |
(970) 315-3560 |
Full Name | Resilia. Llc |
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Speciality | Community/behavioral Health |
Location | 1 Huntington Rd Ste 205, Athens, Georgia |
Authorized Official Name and Position | Ivette Lopez Bledsoe (THERAPIST/OWNER) |
Authorized Official Contact | 7063953091 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Resilia. Llc 1341 Arizona Bnd Watkinsville GA 30677-7774 Ph: (678) 726-0211 | Resilia. Llc 1 Huntington Rd Ste 205 Athens GA 30606-7206 Ph: (706) 395-3091 |
NPI Number | 1336347533 |
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Provider Enumeration Date | 07/10/2007 |
Last Update Date | 10/11/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336347533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 627 (Colorado) | Secondary |
251S00000X | Community/behavioral Health | CSW005801 (Georgia) | Primary |
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