Provider Demographics
NPI:1578436499
Name:RESILIENT MIND MENTAL HEALTH PLLC
Entity type:Organization
Organization Name:RESILIENT MIND MENTAL HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:860-309-1520
Mailing Address - Street 1:510 OLD CANDIA RD UNIT 11
Mailing Address - Street 2:
Mailing Address - City:CANDIA
Mailing Address - State:NH
Mailing Address - Zip Code:03034-2413
Mailing Address - Country:US
Mailing Address - Phone:603-212-1904
Mailing Address - Fax:603-795-7515
Practice Address - Street 1:510 OLD CANDIA RD UNIT 11
Practice Address - Street 2:
Practice Address - City:CANDIA
Practice Address - State:NH
Practice Address - Zip Code:03034-2413
Practice Address - Country:US
Practice Address - Phone:860-309-1520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-26
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty