Healthcare Provider Details

I. General information

NPI: 1649069683
Provider Name (Legal Business Name): RESILIENCE WELLNESS CENTER, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15150 W PARK PL FL 2
GOODYEAR AZ
85395-2385
US

IV. Provider business mailing address

15150 W PARK PL FL 2
GOODYEAR AZ
85395-2385
US

V. Phone/Fax

Practice location:
  • Phone: 480-955-1125
  • Fax:
Mailing address:
  • Phone: 480-955-1125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIA WILDEY
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LCSW
Phone: 480-465-1167