MEDICARE: RESILIENT MENTAL & BEHAVIORAL HEALTHCARE SERVICES

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	101YM0800X	Mental Health Counselor
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1811865397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RESILIENT MENTAL & BEHAVIORAL HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	16 DOGWOOD DR
Second Line	:
City	:	BURLINGTON TOWNSHIP
State	:	NJ
Zip	:	08016-9710
Country	:	US
Telephone Number	:	609-221-6817
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 DOGWOOD DR
Second Line	:
City	:	BURLINGTON TOWNSHIP
State	:	NJ
Zip	:	08016-9710
Country	:	US
Telephone Number	:	609-221-6817
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ANGELA THOMAS
Credential	:	LMFT
Telephone Number	:	609-221-6817

Provider Enumeration Date	:	10/27/2025
Last Update Date	:	04/15/2026

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