NPI 1700528387 · live from the CMS NPI Registry
Blue Resilience LLC
Marriage & Family Therapist in Snellville, GA. National Provider Identifier 1700528387, active.
NPI record
| NPI | 1700528387 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 2417 Foley Park St, Snellville, GA 30078 |
| Practice phone | 678-982-2224 |
| Enumerated | April 12, 2022 |
| Last updated | April 12, 2022 |
| Authorized official | Melissa Graves, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.