Organization
BIRD ON A WIRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLYN ROSE MBUVI LMFT (OWNER)
(804) 413-9037
Entity
Organization
Contact information
Practice address
15 RESEARCH DRIVE, SUITE A, HAMPTON, VA 23666
(804) 413-9037
(757) 852-0475
Mailing address
5007C VICTORY BLVD # 177, YORKTOWN, VA 23693-5601
(804) 413-9037
(757) 852-0475
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/05/2021
Last updated
12/15/2023
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