# RESILIA NEUROTHERAPY SERVICES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** RESILIA, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1235458597
- **Legal business name:** RESILIA, LLC
- **Authorized official:** MS. MICHAELE DAWN JOHNSON LCSW, MBA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (970) 350-0135

## Contact information

- **Practice address:** 503 REMINGTON ST STE 104, FORT COLLINS, CO 80524-3089
- **Practice address phone:** (970) 530-0135
- **Practice address fax:** (970) 315-0386
- **Mailing address:** 503 REMINGTON ST STE 104, FORT COLLINS, CO 80524-3089
- **Mailing address phone:** (970) 530-0135
- **Mailing address fax:** (970) 315-0386

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 22494 | CO | Yes |

## Other

- **Enumeration date:** 05/26/2010
- **Last updated:** 05/26/2010