Healthcare Provider Details
I. General information
NPI: 1841991163
Provider Name (Legal Business Name): DAWNING RESILIENCE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/14/2023
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
525 31ST AVE SW
MINOT ND
58701-7036
US
IV. Provider business mailing address
525 31ST AVE SW
MINOT ND
58701-7036
US
V. Phone/Fax
- Phone: 701-707-1383
- Fax:
- Phone: 701-707-1383
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
MELISSA
M
GARTNER
Title or Position: OWNER
Credential: LPCC
Phone: 701-240-6404