MEDICARE: RESILIENCY PARTNERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC1900X	Counseling Psychologist
2	103T00000X	Psychologist

General Provider Information

NPI Number	:	1306304423
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENCY PARTNERS

Provider Business Mailing Address
First Line	:	98 39TH AVE N
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-4946
Country	:	US
Telephone Number	:	615-830-4964
Fax Number	:

Provider Business Practice Location Address
First Line	:	334 46TH AVE N
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-3451
Country	:	US
Telephone Number	:	615-830-4964
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. RICHARD CURRAN
Credential	:	PHD
Telephone Number	:	615-830-4964

Provider Enumeration Date	:	03/07/2019
Last Update Date	:	11/07/2022

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