| Resilience Behavioral Health, Pllc | |
|
90 Guardian Ct Rocky Mount NC 27804-3017 | |
| (252) 212-3350 | |
| Not Available |
| Full Name | Resilience Behavioral Health, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 90 Guardian Ct, Rocky Mount, North Carolina |
| Authorized Official Name and Position | June Johnston (OPERATIONS MANAGER) |
| Authorized Official Contact | 9192800074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilience Behavioral Health, Pllc 90 Guardian Ct Rocky Mount NC 27804-3017 Ph: () - | Resilience Behavioral Health, Pllc 90 Guardian Ct Rocky Mount NC 27804-3017 Ph: (252) 212-3350 |
| NPI Number | 1407482532 |
|---|---|
| Provider Enumeration Date | 03/20/2020 |
| Last Update Date | 03/20/2020 |
| Certification Date | 03/20/2020 |
| Medicare PECOS PAC ID | 5698190627 |
|---|---|
| Medicare Enrollment ID | O20210326001260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407482532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Jessica R Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962711697 PECOS PAC ID: 1355521501 Enrollment ID: I20150714001504 |
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