MEDICARE: RESILIENT YOU COUNSELING 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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1659170876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENT YOU COUNSELING LLC

Provider Business Mailing Address
First Line	:	11305 CRANSTON DR
Second Line	:
City	:	PEYTON
State	:	CO
Zip	:	80831-6841
Country	:	US
Telephone Number	:	337-842-2511
Fax Number	:

Provider Business Practice Location Address
First Line	:	5426 N ACADEMY BLVD STE 103
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-3686
Country	:	US
Telephone Number	:	719-377-2208
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST/CEO
Name	:	MRS. BRITTANI PROVOST
Credential	:	MA, LPC, NCC
Telephone Number	:	719-377-2208

Provider Enumeration Date	:	03/10/2025
Last Update Date	:	04/06/2025

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