| Inspiring Change, Llc | |
|
1625 N Commerce Pkwy Suite 210 Weston FL 33326-3216 | |
| (954) 665-7403 | |
| (954) 434-5584 |
| Full Name | Inspiring Change, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1625 N Commerce Pkwy, Weston, Florida |
| Authorized Official Name and Position | Dawn Pilger Williams (MANAGER/OWNER) |
| Authorized Official Contact | 9546657403 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspiring Change, Llc 1625 N Commerce Pkwy Suite 210 Weston FL 33326-3216 Ph: (954) 665-7403 | Inspiring Change, Llc 1625 N Commerce Pkwy Suite 210 Weston FL 33326-3216 Ph: (954) 665-7403 |
| NPI Number | 1447502687 |
|---|---|
| Provider Enumeration Date | 10/11/2012 |
| Last Update Date | 10/11/2012 |
| Medicare PECOS PAC ID | 4880833201 |
|---|---|
| Medicare Enrollment ID | O20130617000019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447502687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6317 (Florida) | Primary |
| Provider Name | Dawn P Williams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407911548 PECOS PAC ID: 9133281454 Enrollment ID: I20210715000756 |
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