| Inspire Family Services Llc | |
|
1139 W Augusta Ave Petersburg VA 23803-5514 | |
| (804) 255-4337 | |
| (804) 431-2655 |
| Full Name | Inspire Family Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1139 W Augusta Ave, Petersburg, Virginia |
| Authorized Official Name and Position | John Weaver (CLINICAL DIRECTOR.) |
| Authorized Official Contact | 8045175921 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspire Family Services Llc 1139 W Augusta Ave Petersburg VA 23803-5514 Ph: (804) 255-4337 | Inspire Family Services Llc 1139 W Augusta Ave Petersburg VA 23803-5514 Ph: (804) 255-4337 |
| NPI Number | 1710575816 |
|---|---|
| Provider Enumeration Date | 01/05/2021 |
| Last Update Date | 01/13/2021 |
| Certification Date | 01/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710575816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
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