Healthcare Provider Details
I. General information
NPI: 1376335315
Provider Name (Legal Business Name): RESILIENT MINDS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
260 33RD AVE SW STE X2
CEDAR RAPIDS IA
52404-4646
US
IV. Provider business mailing address
2898 1ST AVE
MARION IA
52302-3903
US
V. Phone/Fax
- Phone: 319-438-2864
- Fax:
- Phone:
- 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 | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
LESLIE
ORR
Title or Position: THERAPIST/OWNER
Credential: LMHC
Phone: 515-229-1753