Healthcare Provider Details
I. General information
NPI: 1326967092
Provider Name (Legal Business Name): RESONATE EMPOWERMENT SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1601 5TH AVE N STE 189
BIRMINGHAM AL
35203-1926
US
IV. Provider business mailing address
9313 MOORES MILL RD STE A
NEW MARKET AL
35761-8447
US
V. Phone/Fax
- Phone: 256-951-0555
- Fax:
- Phone: 256-951-0555
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
KIANNA
LASHAY
MCINTOSH
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential: LICSW
Phone: 256-951-0555