Provider Demographics
NPI:1407642473
Name:POWER & RESILIENCY THERAPY LLC
Entity type:Organization
Organization Name:POWER & RESILIENCY THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KADEAN
Authorized Official - Middle Name:CASSANDRA
Authorized Official - Last Name:ORTIZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-597-6058
Mailing Address - Street 1:19179 BLANCO RD STE 105
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-4009
Mailing Address - Country:US
Mailing Address - Phone:210-460-0337
Mailing Address - Fax:
Practice Address - Street 1:8215 COPPER GATE
Practice Address - Street 2:
Practice Address - City:CONVERSE
Practice Address - State:TX
Practice Address - Zip Code:78109-3937
Practice Address - Country:US
Practice Address - Phone:210-460-0337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty