MEDICARE: RESILIENT MINDS PSYCHIATRY PLLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1497606453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENT MINDS PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	2755 SILVER CREEK RD STE 205
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442-8347
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3735 AZ-95
Second Line	:
City	:	BULLHEAD CITY
State	:	AZ
Zip	:	86442
Country	:	US
Telephone Number	:	702-518-0137
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KAILEE MERRYFIELD
Credential	:	PMPHNP
Telephone Number	:	702-518-0137

Provider Enumeration Date	:	02/05/2026
Last Update Date	:	02/05/2026

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