Provider Demographics
NPI:1043030729
Name:NATION OF RESILIENT SOULS LLC
Entity type:Organization
Organization Name:NATION OF RESILIENT SOULS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CIERRA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BROWNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:757-895-6984
Mailing Address - Street 1:467 KRISTE CT
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-4227
Mailing Address - Country:US
Mailing Address - Phone:757-895-6984
Mailing Address - Fax:
Practice Address - Street 1:467 KRISTE CT
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-4227
Practice Address - Country:US
Practice Address - Phone:757-895-6984
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty