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Contact Information

RENEWED REBELLION WELLNESS COMPANY
531 COMMERCIAL ST.
#700
WATERLOO, IA50701
 Phone: 319-988-1413
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for RENEWED REBELLION WELLNESS COMPANY

NPI # 1104776558
LBN Legal business name RENEWED REBELLION WELLNESS COMPANY
Authorized official CARLY HEIMERDINGER - (LISW)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2026
Last updated 02/03/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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