| Resilience Counseling Agency Inc. | |
|
518 Western Ave Waterloo IA 50702-2835 | |
| (319) 493-0709 | |
| Not Available |
| Full Name | Resilience Counseling Agency Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 518 Western Ave, Waterloo, Iowa |
| Authorized Official Name and Position | Senora Gilley (OWNER) |
| Authorized Official Contact | 3194930709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilience Counseling Agency Inc. 436 Sherman Ave Waterloo IA 50703-2031 Ph: (319) 493-0709 | Resilience Counseling Agency Inc. 518 Western Ave Waterloo IA 50702-2835 Ph: (319) 493-0709 |
| NPI Number | 1780164616 |
|---|---|
| Provider Enumeration Date | 08/20/2018 |
| Last Update Date | 05/31/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780164616 | NPI | - | NPPES |
| 1770774978 | Medicaid | IA | |
| 1396114906 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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