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RESONANT EVOLUTION LLC
NPI 1174953483
Counselor in Fort Worth, TX

Active since November 22, 2013
440 S MAIN ST, SUITE A, FORT WORTH, TX 76104(817) 368-3875(682) 841-1138 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Resonant Evolution Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RESONANT EVOLUTION LLC (NPI 1174953483) is a healthcare organization registered as a counselor in Fort Worth, Texas and active in the NPI registry since November 2013. The organization lists Vida June Phoenix, Owner, as its authorized official.

NPPES Registry Identity

NPI1174953483
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameRESONANT EVOLUTION LLC
Location Address440 S MAIN ST, SUITE AFort Worth, TX 76104-2400
Mailing Address1818 S Henderson StFort Worth, TX 76110-6415 · (817) 368-3875 · Fax (682) 841-1138
Phone(817) 368-3875
Fax(682) 841-1138
Organization SubpartNo
Authorized OfficialVida June PhoenixOwner · (817) 368-3875
Enumeration DateNovember 22, 2013
✔ NPI 1174953483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in TX · 16923
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
440 S MAIN ST, Fort Worth, TX 76104
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Other Identifiers 1

Medicaid144980302TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Resonant Evolution LLC's NPI number?

The NPI number for Resonant Evolution LLC is 1174953483. It was assigned to this organization in the NPPES registry on November 22, 2013.

Where is Resonant Evolution LLC located?

Resonant Evolution LLC is located at 440 S Main St Suite A, Fort Worth, TX 76104. The listed phone number is (817) 368-3875.

What is Resonant Evolution LLC's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Resonant Evolution LLC was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.