Healthcare Provider Details

I. General information

NPI: 1497676712
Provider Name (Legal Business Name): RESILIENCE INVESTMENTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4520 S PECOS RD STE 1
LAS VEGAS NV
89121-5937
US

IV. Provider business mailing address

4520 S PECOS RD STE 1
LAS VEGAS NV
89121-5937
US

V. Phone/Fax

Practice location:
  • Phone: 719-651-7584
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MIYA STAFFORD
Title or Position: COO
Credential:
Phone: 928-848-2487