Healthcare Provider Details

I. General information

NPI: 1831973718
Provider Name (Legal Business Name): RESILIENCE & TRANSFORMATION PSYCHOTHERAPY CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2023
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3950 SUNFOREST CT FL 2
TOLEDO OH
43623-4485
US

IV. Provider business mailing address

9505 EVIEDALE RD
SYLVANIA OH
43560-9251
US

V. Phone/Fax

Practice location:
  • Phone: 773-206-1866
  • Fax:
Mailing address:
  • Phone: 773-206-9676
  • 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 StateNULL

VIII. Authorized Official

Name: SUSAN SHEKUT
Title or Position: PRESIDENT
Credential: LCPC
Phone: 773-206-1866