Healthcare Provider Details

I. General information

NPI: 1689594939
Provider Name (Legal Business Name): RESILIENT ROOTS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

527 DAKOTA AVE
NEW BERN NC
28560-2400
US

IV. Provider business mailing address

527 DAKOTA AVE
NEW BERN NC
28560-2400
US

V. Phone/Fax

Practice location:
  • Phone: 570-899-5336
  • Fax: 252-325-9719
Mailing address:
  • Phone:
  • Fax: 252-325-9719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RACHELLE HELLER
Title or Position: OWNER
Credential:
Phone: 570-899-5336