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General NPI Number Information
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NPI Number | 1558210344
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Entity Type | Organization
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Legal Business Name | HOUSE OF RESILIENCE LLC
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Dates
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Enumeration Date | 01/24/2026
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Last Update Date | 01/24/2026
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Provider Practice Location Address
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Address Line | 2916 N EL CENTRO WAY
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City | DALLAS
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State | TX
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Zip | 75241-6501
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Country | US
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Telephone | 945-444-1810
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Fax |
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Provider Business Mailing Address
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Address Line | 2916 N EL CENTRO WAY
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City | DALLAS
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State | TX
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Zip | 75241-6501
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Country | US
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Telephone | 945-444-1810
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Fax |
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Authorized Official
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Title or Position | FOUNDER/ SUBSTANCE ABUSE COUNSELOR
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Name | VERDENA VALISUA ROBERTSON
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Credential | LCDC
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Telephone | 945-444-1810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 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 #4
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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