Provider Demographics
NPI:1295560555
Name:RESOLVE THERAPY GROUP PLLC
Entity type:Organization
Organization Name:RESOLVE THERAPY GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PARIS
Authorized Official - Middle Name:M
Authorized Official - Last Name:BLAKE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:682-232-4279
Mailing Address - Street 1:1105 SCHENECTADY RD
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76017-6585
Mailing Address - Country:US
Mailing Address - Phone:682-232-4279
Mailing Address - Fax:
Practice Address - Street 1:1521 N COOPER ST STE 208
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76011-5522
Practice Address - Country:US
Practice Address - Phone:682-232-4279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-05
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty