Healthcare Provider Details

I. General information

NPI: 1235561846
Provider Name (Legal Business Name): RESILIENCE HUMAN SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2013
Last Update Date: 01/05/2026
Certification Date: 01/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 MERCANTILE LN STE 136C
LARGO MD
20774-5332
US

IV. Provider business mailing address

9602 WATERFORD DR
MANASSAS VA
20110-6607
US

V. Phone/Fax

Practice location:
  • Phone: 240-800-1019
  • Fax: 240-360-0369
Mailing address:
  • Phone: 703-368-2435
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904007938
License Number StateVA

VIII. Authorized Official

Name: NAILAH C. COOK
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 703-368-2534