Organization
RESILIENT PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY NICOLE MCKENZIE NP (CRNP-PMH)
(410) 343-9869
Entity
Organization
Contact information
Practice address
1206 YORK RD STE 201, LUTHVLE TIMON, MD 21093-6217
(410) 343-9869
(410) 701-3857
Mailing address
126 OTHORIDGE RD, LUTHERVILLE, MD 21093-5418
(410) 343-9869
(410) 701-3857
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC1900X
Counseling Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7998635
—
MD
01
—
FD250000
CAREFIRST BCBS
MD
Enumeration date
09/17/2020
Last updated
04/25/2025
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