| Resiliency Road Clinical Services, Pllc | |
|
1800 Judson Rd Ste 2000 Longview TX 75605-4743 | |
| (888) 383-3184 | |
| Not Available |
| Full Name | Resiliency Road Clinical Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1800 Judson Rd Ste 2000, Longview, Texas |
| Authorized Official Name and Position | Brandi Ann Brittain (OWNER) |
| Authorized Official Contact | 9037205863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resiliency Road Clinical Services, Pllc Po Box 11 Ore City TX 75683-0011 Ph: (888) 383-3184 | Resiliency Road Clinical Services, Pllc 1800 Judson Rd Ste 2000 Longview TX 75605-4743 Ph: (888) 383-3184 |
| NPI Number | 1801635800 |
|---|---|
| Provider Enumeration Date | 05/21/2024 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/20/2024 |
| Medicare PECOS PAC ID | 0446792295 |
|---|---|
| Medicare Enrollment ID | O20240607000861 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801635800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Brandi Ann Brittain |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023692670 PECOS PAC ID: 5193126506 Enrollment ID: I20210623000888 |
Heather R. Mcconnell, M.a., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 423, Longview, TX 75604 Phone: 903-759-2402 Fax: 903-759-2570 | |
Jonathan C. Lockhart, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 111, Longview, TX 75604 Phone: 903-295-8994 Fax: 903-295-8987 | |
Core Health Systems Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1300 N 6th St # A, Longview, TX 75601 Phone: 903-232-8928 Fax: 903-918-1813 | |
Willem H. Fahrenbruck, Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3122 Nealy Way Ste 201, Longview, TX 75605 Phone: 903-452-8040 | |
Diversified Psychological Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1508 W Fairmont St, Suite C, Longview, TX 75604 Phone: 903-238-9553 Fax: 903-291-8709 | |
7872 Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 615 Clinic Dr, Longview, TX 75605 Phone: 903-212-3105 |