COURAGEOUS RESILIENCE THERAPY NPI 1366309528

NPI Information

  • NPI: 1366309528
  • Provider Name: COURAGEOUS RESILIENCE THERAPY
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Organization
  • Address: 1518 WALNUT ST STE 1414
    PHILADELPHIA, PA
    ZIP 19102
  • Phone: (215) 983-7213

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NPI Details

COURAGEOUS RESILIENCE THERAPY is a professional counselor in Philadelphia, PA. COURAGEOUS RESILIENCE THERAPY NPI is 1366309528. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1518 WALNUT ST STE 1414
PHILADELPHIA, PA
ZIP 19102-408
Phone: (215) 983-7213

The provider's authorized official is Carly Dee Geis .
The authorized official title is Licensed Therapist and has the following contact phone number (901) 499-6823.

The enumeration date for this NPI number is 1/8/2026 and was last updated on 1/8/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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