Provider Demographics
NPI:1720857923
Name:PAIN IN THE REAR VIEW, LLC
Entity Type:Organization
Organization Name:PAIN IN THE REAR VIEW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:JEANNE
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:NBC-HWC
Authorized Official - Phone:979-429-2912
Mailing Address - Street 1:610 CLOVIS CT
Mailing Address - Street 2:
Mailing Address - City:COLLEGE STATION
Mailing Address - State:TX
Mailing Address - Zip Code:77845-6592
Mailing Address - Country:US
Mailing Address - Phone:979-429-2912
Mailing Address - Fax:
Practice Address - Street 1:547 WILLIAM D FITCH PKWY STE 104
Practice Address - Street 2:
Practice Address - City:COLLEGE STATION
Practice Address - State:TX
Practice Address - Zip Code:77845-6161
Practice Address - Country:US
Practice Address - Phone:979-429-2912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-28
Last Update Date:2023-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty