Rewire The Misfire, Llc

LBN: Rewire The Misfire, Llc
Rewire The Misfire, Llc is an health care organization with primary practice located at 121 Carl Vinson Pkwy , Warner Robins GA 31088-5817. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Rewire The Misfire, Llc can be contacted via phone (478) 216-8555, or through Long, Delvida via phone (478) 216-8555.

Contact Information

Primary practice address
121 Carl Vinson Pkwy Warner Robins GA 31088-5817
Phone: (478) 216-8555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Long, Delvida PHD
Phone: (478) 216-8555

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1336800283
LBN Legal business name Rewire The Misfire, Llc
DBA Doing business as
Authorized official Long, Delvida PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2022
Last updated Jan 3rd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers