| Organization Name: | RESILIENCY EXPRESS LCSW PC |
| NPI Number: | 1104225002 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHELLE RODRIGUEZ (PRESIDENT) |
| Mailing Address: | 74-05 Metropolitan Avenue 2nd Floor Middle Village |
| State: | NY US |
| Postal Code: | 11379 |
| Phone Number: | 7182012456 |
| Fax Number: | |
| NPI Enumeration Date: | 08/15/2014 |
| NPI Last Update Date: | 08/15/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 076034-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |