Healthcare Provider Details

I. General information

NPI: 1770417156
Provider Name (Legal Business Name): RESILIENT HEALTH CARE SUPPORT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3321 W MERCURY BLVD STE B
HAMPTON VA
23666-3806
US

IV. Provider business mailing address

3321 W MERCURY BLVD STE B
HAMPTON VA
23666-3806
US

V. Phone/Fax

Practice location:
  • Phone: 240-314-9493
  • Fax:
Mailing address:
  • Phone: 240-314-9493
  • 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

VIII. Authorized Official

Name: NEBA FOLEM
Title or Position: COO
Credential:
Phone: 240-314-9493