Provider Demographics
NPI:1316638448
Name:RESILIENT PSYCHIATRY L.L.C.
Entity type:Organization
Organization Name:RESILIENT PSYCHIATRY L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:TAMARA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:HALBERSMA
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:515-537-9686
Mailing Address - Street 1:5460 LONGVIEW CT UNIT 3
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2725
Mailing Address - Country:US
Mailing Address - Phone:515-537-9686
Mailing Address - Fax:515-384-0107
Practice Address - Street 1:5460 LONGVIEW CT UNIT 3
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2725
Practice Address - Country:US
Practice Address - Phone:515-537-9686
Practice Address - Fax:515-384-0107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-18
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty