Healthcare Provider Details

I. General information

NPI: 1578355491
Provider Name (Legal Business Name): RESILIENCE EMDR THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2025
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 W REDWOOD ST STE 200
BALTIMORE MD
21201-1708
US

IV. Provider business mailing address

306 W REDWOOD ST STE 200
BALTIMORE MD
21201-1708
US

V. Phone/Fax

Practice location:
  • Phone: 443-821-7224
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: JULIE YOOK
Title or Position: MENTAL HEALTH CLINICIAN
Credential:
Phone: 443-821-7224