RESILIENCY BEHAVIORAL HEALTH SERVICES LLC
NPI 1689139362
Counselor - Professional in Fayetteville, GA

Active since February 06, 2019
145 GOVENORS SQUARE, STE A, FAYETTEVILLE, GA 30269(770) 668-3130(267) 295-2834 Get Directions Write a Review

NPPES record last updated: February 6, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Counselor
  • Professional

About RESILIENCY BEHAVIORAL HEALTH SERVICES LLC

This page provides the complete NPI Profile along with additional information for Resiliency Behavioral Health Services Llc, a provider established in Fayetteville, Georgia operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1689139362 assigned on February 2019. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Charles Joseph Popov Lpc (Licensed Professional Counselor)

NPI
1689139362 Verify this NPI
Provider Name
RESILIENCY BEHAVIORAL HEALTH SERVICES LLC
Entity Type
Organization
Location Address
145 GOVENORS SQUARE STE A FAYETTEVILLE, GA 30269
Location Phone
(770) 668-3130
Location Fax
(267) 295-2834
Mailing Address
PO BOX 302 TURIN, GA 30289
Mailing Phone
(770) 668-3130
Mailing Fax
(267) 295-2834
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-06-2019
Last Update Date
02-06-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CHARLES JOSEPH POPOV LPC

Authorized Official Title
LICENSED PROFESSIONAL COUNSELOR
Authorized Official Phone
(770) 668-3130

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
003104588MEDICAID (05)GA 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689139362, enumerated as an "organization" on February 06, 2019.

The provider is located at 145 GOVENORS SQUARE STE A FAYETTEVILLE, GA 30269 and the phone number is (770) 668-3130.

Counselor with taxonomy code 101YP2500X and a focus in Professional.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.