Healthcare Provider Details

I. General information

NPI: 1356923221
Provider Name (Legal Business Name): REMARKABLE RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 01/04/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 W LANCASTER AVE # 1021
BRYN MAWR PA
19010-3401
US

IV. Provider business mailing address

755 W LANCASTER AVE # 1021
BRYN MAWR PA
19010-3401
US

V. Phone/Fax

Practice location:
  • Phone: 267-777-1206
  • Fax:
Mailing address:
  • Phone: 267-777-1206
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: CHERESE IZZARD
Title or Position: OWNER
Credential: MHS,LBC
Phone: 267-777-1206