Healthcare Provider Details

I. General information

NPI: 1194642538
Provider Name (Legal Business Name): RESILIENCE CENTER FOR COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4726 FOXBORO CT
RICHMOND IL
60071-9601
US

IV. Provider business mailing address

4726 FOXBORO CT
RICHMOND IL
60071-9601
US

V. Phone/Fax

Practice location:
  • Phone: 224-500-7197
  • Fax:
Mailing address:
  • Phone: 224-500-7197
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA TOMASELLO
Title or Position: OWNER/LCPC
Credential:
Phone: 224-500-7197