| The Rewired Brain Llc | |
|
1537 Wild Goose Run Saint Charles MO 63303-2502 | |
| (314) 712-7314 | |
| Not Available |
| Full Name | The Rewired Brain Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1537 Wild Goose Run, Saint Charles, Missouri |
| Authorized Official Name and Position | Lila Anna Gabbard (PRESIDENT) |
| Authorized Official Contact | 3149414150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Rewired Brain Llc 1537 Wild Goose Run Saint Charles MO 63303-2502 Ph: () - | The Rewired Brain Llc 1537 Wild Goose Run Saint Charles MO 63303-2502 Ph: (314) 712-7314 |
| NPI Number | 1669168951 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 07/02/2023 |
| Certification Date | 07/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669168951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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