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General NPI Number Information
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NPI Number | 1427993989
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Entity Type | Organization
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Legal Business Name | RESILIENT HEART LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 52 UPLAND COURT
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City | NEWARK
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State | DE
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Zip | 19713-2817
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Country | US
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Telephone | 302-729-8027
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Fax |
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Provider Business Mailing Address
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Address Line | 750 STATE ST UNIT 208
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City | SAN DIEGO
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State | CA
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Zip | 92101-6033
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Country | US
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Telephone | 302-729-8027
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | CANDACE ANN GLAVIANO
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Credential | LPCC, LPCMH
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Telephone | 302-729-8027
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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