Healthcare Provider Details

I. General information

NPI: 1124965058
Provider Name (Legal Business Name): RESILIENT CLINICAL COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 KOCH AVE
JOHNSTOWN PA
15902-3136
US

IV. Provider business mailing address

222 KOCH AVE
JOHNSTOWN PA
15902-3136
US

V. Phone/Fax

Practice location:
  • Phone: 814-713-2030
  • Fax:
Mailing address:
  • Phone: 814-713-2030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAREN LEE CUMMINGS-WEDDING
Title or Position: OWNER
Credential: LAPC,NCC
Phone: 814-713-2030