Healthcare Provider Details

I. General information

NPI: 1295336089
Provider Name (Legal Business Name): RESILIENCE BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2020
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

431 E HORATIO AVE STE 310
MAITLAND FL
32751-4560
US

IV. Provider business mailing address

431 E HORATIO AVE STE 310
MAITLAND FL
32751-4560
US

V. Phone/Fax

Practice location:
  • Phone: 407-459-0474
  • Fax: 407-916-6014
Mailing address:
  • Phone: 407-459-0474
  • Fax: 407-916-6014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CARMEN ZIERS
Title or Position: OWNER
Credential: LMHC
Phone: 407-701-7723