Organization · Type 2 NPI

Modern Resilience PLLC

Community/Behavioral Health Agency · Idaho Falls, ID

NPI number 1225923915 Active

Practice location

482 Constitution Way Ste B1
Idaho Falls, ID 83402-3543

Fax (855) 582-8818

Mailing address

429 6th St
Idaho Falls, ID 83401-4708

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700XNone listed
Community/Behavioral Health Agency Primary 251S00000XNone listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1225923915

Modern Resilience PLLC's National Provider Identifier is 1225923915, issued on Jun 11, 2025. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Aug 13, 2025.