1. Home
  2. Directory
  3. Virginia
  4. Glen Allen
  5. Psychologist
  6. NPI Profile

RESILIENT THERAPY LLC
NPI 1336909167
Psychologist - Clinical in Glen Allen, VA

Active since March 20, 2024
4932 DOMINION BLVD, GLEN ALLEN, VA 23060(804) 592-1097(804) 592-1097 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Resilient Therapy Llc NPPES

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

RESILIENT THERAPY LLC (NPI 1336909167) is a healthcare organization registered as a clinical in Glen Allen, Virginia and active in the NPI registry since March 2024. The organization lists Michael Ingram, Owner, as its authorized official.

NPPES Registry Identity

NPI1336909167
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameRESILIENT THERAPY LLC
Location Address4932 DOMINION BLVDGlen Allen, VA 23060-6714
Mailing Address4932 Dominion BlvdGlen Allen, VA 23060-6714 · (804) 592-1097 · Fax (804) 592-1097
Phone(804) 592-1097
Fax(804) 592-1097
Organization SubpartNo
Authorized OfficialMichael IngramOwner · (804) 592-1097
Enumeration DateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1336909167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
4932 DOMINION BLVD, Glen Allen, VA 23060
Open in Google Maps ↗

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

Other Providers at the Same Location NPPES

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

BONJOUR MEDICAL LLC.
Durable Medical Equipment & Medical Supplies
4932 DOMINION BLVD
GLEN ALLEN, VA 23060
Henrico County (804) 617-5806

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 Resilient Therapy LLC's NPI number?

The NPI number for Resilient Therapy LLC is 1336909167. It was assigned to this organization in the NPPES registry on March 20, 2024.

Where is Resilient Therapy LLC located?

Resilient Therapy LLC is located at 4932 Dominion Blvd, Glen Allen, VA 23060. The listed phone number is (804) 592-1097.

What is Resilient Therapy LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Resilient Therapy LLC was last updated on March 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.