| Resilience Mental Health,llc | |
|
79 Highway 286 Unit B Eton GA 30705 | |
| (706) 971-3757 | |
| Not Available |
| Full Name | Resilience Mental Health,llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 79 Highway 286, Eton, Georgia |
| Authorized Official Name and Position | Teresa Rohn (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 7062805830 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilience Mental Health,llc 79 Highway 286 Unit B Eton GA 30705 Ph: (706) 971-3757 | Resilience Mental Health,llc 79 Highway 286 Unit B Eton GA 30705 Ph: (706) 971-3757 |
| NPI Number | 1154104875 |
|---|---|
| Provider Enumeration Date | 08/16/2023 |
| Last Update Date | 09/05/2023 |
| Certification Date | 09/05/2023 |
| Medicare PECOS PAC ID | 7810341153 |
|---|---|
| Medicare Enrollment ID | O20230920003554 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154104875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | John Beckner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538212519 PECOS PAC ID: 9537067665 Enrollment ID: I20110307000042 |
| Provider Name | Melissa D Boyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619559382 PECOS PAC ID: 4880092519 Enrollment ID: I20211012000213 |