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Organization
RESILIENCE LAB INC
Active
Organization
RESILIENCE LAB INC
Active
Other names
Resilience Lab
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE CARVILLE (CHIEF CLINICAL OFFICER)
(917) 674-3421
Entity
Organization
Contact information
Practice address
175 E 94TH ST APT 1, NEW YORK, NY 10128-2905
(833) 775-6252
Mailing address
175 E 94TH ST APT 1, NEW YORK, NY 10128-2905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
102L00000X
Psychoanalyst
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
171M00000X
Case Manager/Care Coordinator
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/26/2022
Last updated
05/26/2022
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