Provider Demographics
NPI:1902689003
Name:RESILIENT MINDS
Entity Type:Organization
Organization Name:RESILIENT MINDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:MOREY
Authorized Official - Middle Name:AUNDREA
Authorized Official - Last Name:STROZIER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:317-677-3355
Mailing Address - Street 1:9165 OTIS AVE STE 114
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46216-2311
Mailing Address - Country:US
Mailing Address - Phone:317-759-8822
Mailing Address - Fax:
Practice Address - Street 1:9165 OTIS AVE STE 114
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46216-2311
Practice Address - Country:US
Practice Address - Phone:317-759-8822
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
No251S00000XAgenciesCommunity/Behavioral Health
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No253Z00000XAgenciesIn Home Supportive Care
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QP2400XAmbulatory Health Care FacilitiesClinic/CenterPrison Health
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No333600000XSuppliersPharmacyGroup - Single Specialty