Healthcare Provider Details

I. General information

NPI: 1568383982
Provider Name (Legal Business Name): RESILIENT CHOICES COUNSELING SERVICES 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

1865 OLDE BUCKINGHAM RD
HAMPTON VA
23669-1916
US

IV. Provider business mailing address

1865 OLDE BUCKINGHAM RD
HAMPTON VA
23669-1916
US

V. Phone/Fax

Practice location:
  • Phone: 757-292-8156
  • Fax: 757-292-8156
Mailing address:
  • Phone: 757-292-8156
  • Fax: 757-292-8156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ROBYN GRANNETTE COLEMAN
Title or Position: OWNER
Credential: LCSW
Phone: 757-292-8156