MEDICARE: RESILIENT MIND HEALTH & WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1073462156
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENT MIND HEALTH & WELLNESS

Provider Business Mailing Address
First Line	:	25701 N LAKELAND BLVD
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44132-2450
Country	:	US
Telephone Number	:	216-313-7960
Fax Number	:

Provider Business Practice Location Address
First Line	:	25701 N LAKELAND BLVD
Second Line	:
City	:	EUCLID
State	:	OH
Zip	:	44132-2450
Country	:	US
Telephone Number	:	216-313-7960
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	AMIR SALEEM SR.
Credential	:
Telephone Number	:	216-313-7960

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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