Healthcare Provider Details

I. General information

NPI: 1770410458
Provider Name (Legal Business Name): RESILIENCE PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 2ND ST SW
ROANOKE VA
24016-4710
US

IV. Provider business mailing address

1127 2ND ST SW
ROANOKE VA
24016-4710
US

V. Phone/Fax

Practice location:
  • Phone: 540-400-7495
  • Fax: 877-803-9136
Mailing address:
  • Phone: 540-400-7495
  • Fax: 877-803-9136

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MONICA LYNN WILTJER
Title or Position: OWNER/PROVIDER
Credential: PA-C
Phone: 919-272-3025