Healthcare Provider Details

I. General information

NPI: 1366383473
Provider Name (Legal Business Name): RESILIENCE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 10TH AVE
GREELEY CO
80639-5545
US

IV. Provider business mailing address

1804 27TH AVE
GREELEY CO
80634-4940
US

V. Phone/Fax

Practice location:
  • Phone: 970-302-6388
  • Fax:
Mailing address:
  • Phone: 970-302-6388
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LISA MCCONNELL
Title or Position: PMHNP-BC
Credential: NP
Phone: 970-302-6388