Organization
RESILIENCY EXPRESS LCSW PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE RODRIGUEZ LCSW-R (PRESIDENT)
(718) 909-7742
Entity
Organization
Contact information
Practice address
74-05 METROPOLITAN AVENUE, 2ND FLOOR, MIDDLE VILLAGE, NY 11379
(718) 201-2456
Mailing address
150-51 VILLAGE ROAD, UNIT 55A, JAMAICA, NY 11432
(718) 909-7742
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
076034-1
NY
Other
Enumeration date
08/15/2014
Last updated
08/15/2014
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