=====================================================
General NPI Number Information
=====================================================
NPI Number | 1437959574
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | RESOLVE MENTAL WELLNESS LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/17/2025
-----------------------------------------------------
Last Update Date | 11/25/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 205 GRANDVIEW AVE STE 200J
-----------------------------------------------------
City | CAMP HILL
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17011-1745
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-461-3639
-----------------------------------------------------
Fax | 717-220-5881
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 148 E HIGH ST APT 102
-----------------------------------------------------
City | ELIZABETHTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17022-1987
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | LINDSEY BAKER
-----------------------------------------------------
Credential | LPC
-----------------------------------------------------
Telephone | 985-788-3830
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------