Organization
RESILIENT SOUL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY BROWN (BILLING MANAGER)
(302) 241-8636
Entity
Organization
Contact information
Practice address
1001 S BRADFORD ST STE 3, DOVER, DE 19904-4153
(302) 828-1273
Mailing address
1001 S BRADFORD ST STE 3, DOVER, DE 19904-4153
(302) 828-1273
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000593172
—
DE
Enumeration date
01/13/2021
Last updated
11/07/2023
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