MEDICARE: RESILIENT YOU THERAPY

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1265390421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENT YOU THERAPY

Provider Business Mailing Address
First Line	:	6792 WILLOW WICK CT
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-6828
Country	:	US
Telephone Number	:	714-833-1676
Fax Number	:

Provider Business Practice Location Address
First Line	:	6792 WILLOW WICK CT
Second Line	:
City	:	YORBA LINDA
State	:	CA
Zip	:	92886-6828
Country	:	US
Telephone Number	:	714-833-1676
Fax Number	:

Authorized Official
Title or Position	:	THERAPIST/OWNER
Name	:	KRISTEN NICHOLS
Credential	:	LCSW
Telephone Number	:	714-833-1676

Provider Enumeration Date	:	01/14/2026
Last Update Date	:	01/14/2026

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Directions to “RESILIENT YOU THERAPY ” Practice Location

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