| 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 |
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