| Resilience Behavioral Health Llc | |
|
3211 Calumet Dr Orlando FL 32810-2023 | |
| (407) 701-7723 | |
| Not Available |
| Full Name | Resilience Behavioral Health Llc |
|---|---|
| Speciality | Counselor |
| Location | 3211 Calumet Dr, Orlando, Florida |
| Authorized Official Name and Position | Carmen Ziers (OWNER) |
| Authorized Official Contact | 4077017723 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilience Behavioral Health Llc 3211 Calumet Dr Orlando FL 32810-2023 Ph: (407) 701-7723 | Resilience Behavioral Health Llc 3211 Calumet Dr Orlando FL 32810-2023 Ph: (407) 701-7723 |
| NPI Number | 1295336089 |
|---|---|
| Provider Enumeration Date | 11/06/2020 |
| Last Update Date | 11/06/2020 |
| Certification Date | 11/06/2020 |
| Medicare PECOS PAC ID | 9830540533 |
|---|---|
| Medicare Enrollment ID | O20240107000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295336089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Carmen Emilia Ziers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629326517 PECOS PAC ID: 0749631448 Enrollment ID: I20240107000068 |
| Provider Name | Kevin Antonio Berio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932721842 PECOS PAC ID: 3476904178 Enrollment ID: I20240107000089 |
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