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NPI Code Detail

MEDICARE: RESILIENCE THERAPY LLC

MEDICARE: RESILIENCE THERAPY LLC
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1184225575
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESILIENCE THERAPY LLC
Provider Business Mailing Address
First Line : PO BOX 10
Second Line :
City : MASON
State : MI
Zip : 48854-0010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2335 BURTON ST SE STE 210
Second Line :
City : GRAND RAPIDS
State : MI
Zip : 49506-4669
Country : US
Telephone Number : 616-236-3600
Fax Number : 616-369-1449
Authorized Official
Title or Position : CREDENTIALING
Name : MARYBETH HOUPT
Credential :
Telephone Number : 517-676-9797
Provider Enumeration Date : 11/03/2020
Last Update Date : 10/23/2025

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Directions to “RESILIENCE THERAPY LLC ” Practice Location

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