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NPI Code Detail

MEDICARE: RESILIENCE WELLNESS CENTER, PLLC

MEDICARE: RESILIENCE WELLNESS CENTER, 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
1261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1649069683
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESILIENCE WELLNESS CENTER, PLLC
Provider Business Mailing Address
First Line : 15150 W PARK PL FL 2
Second Line :
City : GOODYEAR
State : AZ
Zip : 85395-2385
Country : US
Telephone Number : 480-955-1125
Fax Number :
Provider Business Practice Location Address
First Line : 15150 W PARK PL FL 2
Second Line :
City : GOODYEAR
State : AZ
Zip : 85395-2385
Country : US
Telephone Number : 480-955-1125
Fax Number :
Authorized Official
Title or Position : OWNER/CLINICAL DIRECTOR
Name : MARIA WILDEY
Credential : LCSW
Telephone Number : 480-465-1167
Provider Enumeration Date : 05/05/2025
Last Update Date : 05/05/2025

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