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NPI Code Detail

MEDICARE: RESILIENCE AND RECOVERY, LLC

MEDICARE: RESILIENCE AND RECOVERY, 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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1326844671
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESILIENCE AND RECOVERY, LLC
Provider Business Mailing Address
First Line : 6601 IRONGATE SQ
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-6077
Country : US
Telephone Number : 804-888-2813
Fax Number :
Provider Business Practice Location Address
First Line : 6601 IRONGATE SQ
Second Line :
City : NORTH CHESTERFIELD
State : VA
Zip : 23234-6077
Country : US
Telephone Number : 804-888-2813
Fax Number :
Authorized Official
Title or Position : THERAPIST
Name : MRS. TRACY SHERRILLE MOORE
Credential : LCSW
Telephone Number : 804-888-2813
Provider Enumeration Date : 02/19/2025
Last Update Date : 02/19/2025

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Directions to “RESILIENCE AND RECOVERY, LLC ” Practice Location

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