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General NPI Number Information
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NPI Number | 1235561846
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Entity Type | Organization
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Legal Business Name | RESILIENCE HUMAN SERVICES INC.
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 01/05/2026
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Provider Practice Location Address
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Address Line | 1300 MERCANTILE LN STE 136C
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City | LARGO
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State | MD
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Zip | 20774-5332
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Country | US
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Telephone | 240-800-1019
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Fax | 240-360-0369
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Provider Business Mailing Address
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Address Line | 9602 WATERFORD DR
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City | MANASSAS
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State | VA
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Zip | 20110-6607
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Country | US
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Telephone | 703-368-2435
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NAILAH C. COOK
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Credential | LCSW
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Telephone | 703-368-2534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904007938
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License Number State | VA
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