# REIGNITE AND REFORM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295547339
- **Authorized official:** TRINA R BERRY NURSE PRACTITIONER (PMHNP-BC)
- **Authorized official phone:** (516) 710-3498

## Contact information

- **Practice address:** 121 GRANBY PARK, NORFOLK, VA 23505-4101
- **Practice address phone:** (516) 710-3498
- **Mailing address:** 121 GRANBY PARK, NORFOLK, VA 23505-4101
- **Mailing address phone:** (516) 710-3498

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/24/2025
- **Last updated:** 01/24/2025