RESOLUTE
NPI 1740925759
Nurse Practitioner - Psychiatric/Mental Health in Longview, TX

Q: What is Resolute Addiction And Behavioral Health PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since May 03, 2022CLIA 45D2335642 · Waiver

319 INDUSTRIAL DR, LONGVIEW, TX 75602(903) 213-9120(903) 331-0439 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 18, 2024, May 3, 2022 (2 updates tracked since 2022).

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About Resolute NPPES

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

RESOLUTE (NPI 1740925759) is a healthcare organization registered as a psychiatric/mental health in Longview, Texas and active in the NPI registry since May 2022. The organization holds a CLIA Waiver certificate valid through December 14, 2027 and lists Jeremiah Sanders, Owner, as its authorized official.

NPPES Registry Identity

NPI1740925759

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameRESOLUTE ADDICTION AND BEHAVIORAL HEALTH PLLC

Location Address319 INDUSTRIAL DRLongview, TX 75602-4721

Mailing Address400 W Methvin StLongview, TX 75601-6313

Phone(903) 213-9120

Fax(903) 331-0439

Organization SubpartNo

Authorized OfficialJeremiah SandersOwner · (903) 213-9120

Enumeration DateMay 3, 2022

Last NPPES UpdateDecember 18, 20242 updates tracked since enumeration

NPPES CertifiedDecember 18, 2024

✔ NPI 1740925759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

319 INDUSTRIAL DR, Longview, TX 75602

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Other Names 1

Doing Business AsResolute

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2335642

Resolute Addiction And Behavioral Health · Longview, TX

Active · expires Dec 14, 2027

CLIA Number45D2335642

Laboratory TypePhysician Office

Certificate Effective DateDecember 15, 2025

Certificate Expiration DateDecember 14, 2027

Laboratory DirectorJeremiah R. Sanders

Laboratory Phone(903) 213-9120

Laboratory LocationResolute Addiction And Behavioral Health319 Industrial Drive, Longview, TX 75602

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

MRS. ANGELA CLIPPERTON RN

Registered Nurse (Neuroscience)