Provider Demographics
NPI:1538052014
Name:RESILIENCE NORTH LLC
Entity type:Organization
Organization Name:RESILIENCE NORTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAUSANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:231-679-6105
Mailing Address - Street 1:6713 SUNSET LN
Mailing Address - Street 2:
Mailing Address - City:CANADIAN LAKES
Mailing Address - State:MI
Mailing Address - Zip Code:49346-8832
Mailing Address - Country:US
Mailing Address - Phone:231-679-6105
Mailing Address - Fax:
Practice Address - Street 1:7050 9 MILE RD
Practice Address - Street 2:
Practice Address - City:MECOSTA
Practice Address - State:MI
Practice Address - Zip Code:49332-9722
Practice Address - Country:US
Practice Address - Phone:231-679-6105
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty