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RESURGENCE NORTHWEST LLC
NPI 1225869969
Community/Behavioral Health in Milton, WA

Active since August 13, 2024
1703 DOUGLAS CT, MILTON, WA 98354(360) 888-7087 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Resurgence Northwest Llc NPPES

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

RESURGENCE NORTHWEST LLC (NPI 1225869969) is a healthcare organization registered as a community/behavioral health in Milton, Washington and active in the NPI registry since August 2024. The organization lists Kevin Richard Bergeron, Owner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1225869969
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameRESURGENCE NORTHWEST LLC
Location Address1703 DOUGLAS CTMilton, WA 98354-9727
Mailing Address1703 Douglas CtMilton, WA 98354-9727 · (360) 888-7087
Phone(360) 888-7087
Organization SubpartNo
Authorized OfficialKevin Richard BergeronOwner, Ceo · (360) 888-7087
Enumeration DateAugust 13, 2024
NPPES CertifiedAugust 13, 2024
✔ NPI 1225869969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedCase ManagementTaxonomy 251B00000X
1703 DOUGLAS CT, Milton, WA 98354
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REMNANT CLEANING LLC
Rehabilitation, Substance Use Disorder Unit
1703 DOUGLAS CT
MILTON, WA 98354
Pierce County (253) 392-5534
KEVIN R BERGERON SUDPT
Counselor (Addiction (Substance Use Disorder))
1703 DOUGLAS CT
MILTON, WA 98354
Pierce County (360) 888-7087
REMNANT ARMY NORTHWEST
Community/Behavioral Health
1703 DOUGLAS CT
MILTON, WA 98354
Pierce County (360) 888-7087

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 Resurgence Northwest LLC's NPI number?

The NPI number for Resurgence Northwest LLC is 1225869969. It was assigned to this organization in the NPPES registry on August 13, 2024.

Where is Resurgence Northwest LLC located?

Resurgence Northwest LLC is located at 1703 Douglas Ct, Milton, WA 98354. The listed phone number is (360) 888-7087.

What is Resurgence Northwest LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Resurgence Northwest LLC was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.