Healthcare Provider Details

I. General information

NPI: 1861239378
Provider Name (Legal Business Name): RESOLUTE CONSULTING AND COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2024
Last Update Date: 07/11/2024
Certification Date: 07/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28714 VALLEY CENTER RD # II
VALLEY CENTER CA
92082-6554
US

IV. Provider business mailing address

28714 VALLEY CENTER RD # II
VALLEY CENTER CA
92082-6554
US

V. Phone/Fax

Practice location:
  • Phone: 760-638-4333
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. DAWN FARRIER
Title or Position: CO- FOUNDER
Credential: LCSW
Phone: 760-445-1225