Provider Demographics
NPI:1306580477
Name:RESOLVE
Entity type:Organization
Organization Name:RESOLVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:IEZZI
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:507-414-8369
Mailing Address - Street 1:688 HOLLY AVE STE 6F
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-7129
Mailing Address - Country:US
Mailing Address - Phone:507-414-8369
Mailing Address - Fax:
Practice Address - Street 1:3131 SUPERIOR DR NW STE B
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-1999
Practice Address - Country:US
Practice Address - Phone:507-414-8369
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-25
Last Update Date:2022-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health