Organization
RENEWED REBELLION WELLNESS COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLY LYN HEIMERDINGER (LISW)
(319) 988-1413
Entity
Organization
Contact information
Practice address
531 COMMERCIAL ST., #700, WATERLOO, IA 50701
(319) 988-1413
Mailing address
531 COMMERCIAL ST., #700, WATERLOO, IA 50701
(319) 988-1413
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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