REWIRE THE MISFIRE, LLC - NPI 1336800283 - Psychologist in Warner Robins, GA

Q: What is Rewire The Misfire, LLC's NPI number?

The NPI number for Rewire The Misfire, LLC is 1336800283. It was assigned to this organization in the NPPES registry on January 3, 2022.

Q: What is Rewire The Misfire, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

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About Rewire The Misfire, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REWIRE THE MISFIRE, LLC (NPI 1336800283) is a healthcare organization registered as a clinical in Warner Robins, Georgia and active in the NPI registry since January 2022. The organization lists Delvida Long, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1336800283

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameREWIRE THE MISFIRE, LLC

Location Address121 CARL VINSON PKWYWarner Robins, GA 31088-5817

Mailing Address102 Forest PointeWarner Robins, GA 31088-7527 · (478) 216-8555

Phone(478) 216-8555

Organization SubpartNo

Authorized OfficialDelvida LongPsychologist · (478) 216-8555

Enumeration DateJanuary 3, 2022

NPPES CertifiedJanuary 3, 2022

✔ NPI 1336800283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

121 CARL VINSON PKWY, Warner Robins, GA 31088

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE CHANGES COUNSELING LLC

Social Worker (Clinical)

121 CARL VINSON PKWY, PSYCHOLOGICAL OFFICES
WARNER ROBINS, GA 31088

Houston County (478) 922-2365

ROBIN R SCHULTZ LMHC, LPC

Counselor (Professional)