Provider Demographics
NPI:1255104907
Name:WAR ROOM LLC
Entity type:Organization
Organization Name:WAR ROOM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:IVIE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, ALC, NCC
Authorized Official - Phone:334-521-2711
Mailing Address - Street 1:17 HUGULEY RD
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36804-1892
Mailing Address - Country:US
Mailing Address - Phone:502-619-8874
Mailing Address - Fax:
Practice Address - Street 1:3365 SKYWAY DR STE 103
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36830-6485
Practice Address - Country:US
Practice Address - Phone:334-521-2711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-03
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty