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General NPI Number Information
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NPI Number | 1508472226
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Entity Type | Organization
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Legal Business Name | RESILIENT PSYCHIATRY, LLC
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Dates
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Enumeration Date | 09/17/2020
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 1206 YORK RD STE 201
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City | LUTHVLE TIMON
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State | MD
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Zip | 21093-6217
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Country | US
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Telephone | 410-343-9869
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Fax | 410-701-3857
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Provider Business Mailing Address
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Address Line | 126 OTHORIDGE RD
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City | LUTHERVILLE
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State | MD
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Zip | 21093-5418
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Country | US
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Telephone | 410-343-9869
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Fax | 410-701-3857
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Authorized Official
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Title or Position | CRNP-PMH
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Name | ASHLEY NICOLE MCKENZIE
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Credential | NP
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Telephone | 410-343-9869
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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