Healthcare Provider Details

I. General information

NPI: 1427963115
Provider Name (Legal Business Name): RESILIENCE MENTAL HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11852 PARAKEET WAY
CALDWELL ID
83605-6763
US

IV. Provider business mailing address

11852 PARAKEET WAY
CALDWELL ID
83605-6763
US

V. Phone/Fax

Practice location:
  • Phone: 208-495-7732
  • Fax: 208-216-0275
Mailing address:
  • Phone: 208-495-7732
  • Fax: 208-216-0275

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RACHEL BARNHART-HICKMOTT
Title or Position: OWNER
Credential: LCSW
Phone: 208-495-7732