| Resilience Center | |
|
142 Lynnwood Cir Clarksville TN 37040-5043 | |
| (931) 561-3488 | |
| Not Available |
| Full Name | Resilience Center |
|---|---|
| Speciality | Social Worker |
| Location | 142 Lynnwood Cir, Clarksville, Tennessee |
| Authorized Official Name and Position | Ashley Foster (OWNER) |
| Authorized Official Contact | 9315613488 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilience Center 142 Lynnwood Cir Clarksville TN 37040-5043 Ph: (931) 561-3488 | Resilience Center 142 Lynnwood Cir Clarksville TN 37040-5043 Ph: (931) 561-3488 |
| NPI Number | 1518780964 |
|---|---|
| Provider Enumeration Date | 11/04/2024 |
| Last Update Date | 12/19/2024 |
| Certification Date | 12/19/2024 |
| Medicare PECOS PAC ID | 6800325051 |
|---|---|
| Medicare Enrollment ID | O20250203000306 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518780964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ashley Foster |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588169676 PECOS PAC ID: 7618406869 Enrollment ID: I20250210000055 |
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