Healthcare Provider Details

I. General information

NPI: 1801714050
Provider Name (Legal Business Name): RESILIENCY MENTAL HEALTH AND WELLNESS CENTER LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

7201 METRO BLVD STE 550
MINNEAPOLIS MN
55439-1353
US

IV. Provider business mailing address

7201 METRO BLVD STE 550
MINNEAPOLIS MN
55439-1353
US

V. Phone/Fax

Practice location:
  • Phone: 651-274-5770
  • Fax:
Mailing address:
  • Phone: 651-274-5770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KAI TAYLOR MASON
Title or Position: MENTAL HEALTH THERAPIST; OWNER
Credential: LPCC, LADC
Phone: 651-274-5770