| Resilient Wellness Of Texas Llc | |
|
5343 Kiam St Houston TX 77007-1216 | |
| (562) 704-8468 | |
| Not Available |
| Full Name | Resilient Wellness Of Texas Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5343 Kiam St, Houston, Texas |
| Authorized Official Name and Position | Nicole Klasey (CEO) |
| Authorized Official Contact | 5627048468 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Wellness Of Texas Llc 3225 Mcleod Dr Ste 100 Las Vegas NV 89121 Ph: (562) 704-8468 | Resilient Wellness Of Texas Llc 5343 Kiam St Houston TX 77007-1216 Ph: (562) 704-8468 |
| NPI Number | 1598490815 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 06/29/2023 |
| Certification Date | 06/29/2023 |
| Medicare PECOS PAC ID | 7416314497 |
|---|---|
| Medicare Enrollment ID | O20230727001638 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598490815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Nicole Klasey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356482475 PECOS PAC ID: 2961786603 Enrollment ID: I20210712001461 |
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