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NPI Code Detail

MEDICARE: HOUSE OF RESILIENCE LLC

MEDICARE: HOUSE OF RESILIENCE LLC
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
1101Y00000XCounselor
2175T00000XPeer Specialist
3101YM0800XMental Health Counselor
4171M00000XCase Manager/Care Coordinator
5101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1558210344
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSE OF RESILIENCE LLC
Provider Business Mailing Address
First Line : 2916 N EL CENTRO WAY
Second Line :
City : DALLAS
State : TX
Zip : 75241-6501
Country : US
Telephone Number : 945-444-1810
Fax Number :
Provider Business Practice Location Address
First Line : 2916 N EL CENTRO WAY
Second Line :
City : DALLAS
State : TX
Zip : 75241-6501
Country : US
Telephone Number : 945-444-1810
Fax Number :
Authorized Official
Title or Position : FOUNDER/ SUBSTANCE ABUSE COUNSELOR
Name : VERDENA VALISUA ROBERTSON
Credential : LCDC
Telephone Number : 945-444-1810
Provider Enumeration Date : 01/24/2026
Last Update Date : 01/24/2026

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Directions to “HOUSE OF RESILIENCE LLC ” Practice Location

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