Provider Demographics
NPI:1346067659
Name:RESILIENT MINDS PSYCHIATRY PLLC
Entity type:Organization
Organization Name:RESILIENT MINDS PSYCHIATRY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PMHNP
Authorized Official - Prefix:
Authorized Official - First Name:HALI
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MASSRI
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:774-253-2846
Mailing Address - Street 1:47 HIGH ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02048-2146
Mailing Address - Country:US
Mailing Address - Phone:508-514-8045
Mailing Address - Fax:508-213-3957
Practice Address - Street 1:47 HIGH ST UNIT B
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:MA
Practice Address - Zip Code:02048-2146
Practice Address - Country:US
Practice Address - Phone:508-514-8045
Practice Address - Fax:508-213-3957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty