Healthcare Provider Details

I. General information

NPI: 1427810902
Provider Name (Legal Business Name): RESILIENT PATHWAYS COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2024
Last Update Date: 05/16/2024
Certification Date: 05/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

484 OLD CORVALLIS RD
HAMILTON MT
59840-3129
US

IV. Provider business mailing address

1374 OLD DARBY RD
HAMILTON MT
59840-9743
US

V. Phone/Fax

Practice location:
  • Phone: 435-557-1310
  • Fax:
Mailing address:
  • Phone: 435-557-1310
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RYLIE J LAYSER
Title or Position: THERAPIST/OWNER
Credential: LCSW
Phone: 435-557-1310