Provider Demographics
NPI:1972347953
Name:RESURGENCE EDUCATIONAL SOLUTIONS, LLC
Entity type:Organization
Organization Name:RESURGENCE EDUCATIONAL SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:RIA
Authorized Official - Middle Name:THERESA
Authorized Official - Last Name:ARCHIBALD
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA
Authorized Official - Phone:770-940-0237
Mailing Address - Street 1:5829 CAMPBELLTON RD SW STE 104
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30331-8036
Mailing Address - Country:US
Mailing Address - Phone:770-940-0237
Mailing Address - Fax:877-940-3221
Practice Address - Street 1:334 WOODMILL WAY SW
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30331-8036
Practice Address - Country:US
Practice Address - Phone:770-940-0237
Practice Address - Fax:877-940-3221
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-24
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty