| Resilient Therapy Llc | |
|
4932 Dominion Blvd Glen Allen VA 23060-6714 | |
| (804) 592-1097 | |
| (804) 592-1097 |
| Full Name | Resilient Therapy Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 4932 Dominion Blvd, Glen Allen, Virginia |
| Authorized Official Name and Position | Michael Ingram (OWNER) |
| Authorized Official Contact | 8045921097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Therapy Llc 4932 Dominion Blvd Glen Allen VA 23060-6714 Ph: (804) 592-1097 | Resilient Therapy Llc 4932 Dominion Blvd Glen Allen VA 23060-6714 Ph: (804) 592-1097 |
| NPI Number | 1336909167 |
|---|---|
| Provider Enumeration Date | 03/20/2024 |
| Last Update Date | 03/20/2024 |
| Certification Date | 03/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336909167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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