Resilient Life Therapeutic Services LLC
NPI 1083285407ActiveOrganization· Social Worker· Detroit, MI
Social Worker in Detroit, Michigan, registered in NPPES in July 2021. The authorized official on file is Jacqueline Maria Beavers, LMSW, Sole Owner.
Overview
| NPI | 1083285407 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 7, 2021 |
| Last updated in NPPES | Nov 8, 2021 |
| Certified by provider | Nov 8, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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