Healthcare Provider Details

I. General information

NPI: 1194619973
Provider Name (Legal Business Name): RESILIENCE MIND AND WELLNESS CLINIC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2025
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6301 MOUNTAIN VISTA ST STE 104
HENDERSON NV
89014-2365
US

IV. Provider business mailing address

6301 MOUNTAIN VISTA ST STE 104
HENDERSON NV
89014-2365
US

V. Phone/Fax

Practice location:
  • Phone: 702-706-2236
  • Fax:
Mailing address:
  • Phone: 702-706-2236
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ROYA ZAMANIAN
Title or Position: OWNER
Credential:
Phone: 702-510-4712