=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356145940
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RESILIENCE TO THRIVE COUNSELING AND CONSULTING, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/02/2025
-----------------------------------------------------
Last Update Date | 04/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 971 US HIGHWAY 202 N
-----------------------------------------------------
City | BRANCHBURG
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08876-3757
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-800-4236
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2 ADAIR ST
-----------------------------------------------------
City | STANHOPE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07874-3430
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-800-4236
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO-FOUNDER, THERAPIST
-----------------------------------------------------
Name | VICTORIA NAGEL
-----------------------------------------------------
Credential | LPC,LCADC
-----------------------------------------------------
Telephone | 201-800-4236
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------