| Inspiring U Therapy, Llc | |
|
1115 Alto Ave Se Grand Rapids MI 49507-1403 | |
| (616) 719-0120 | |
| (616) 719-3221 |
| Full Name | Inspiring U Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1115 Alto Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Lisa R Baker (THERAPIST/OWNER) |
| Authorized Official Contact | 6167190120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspiring U Therapy, Llc 1115 Alto Ave Se Grand Rapids MI 49507-1403 Ph: (616) 719-0120 | Inspiring U Therapy, Llc 1115 Alto Ave Se Grand Rapids MI 49507-1403 Ph: (616) 719-0120 |
| NPI Number | 1144817867 |
|---|---|
| Provider Enumeration Date | 12/29/2020 |
| Last Update Date | 12/29/2020 |
| Certification Date | 12/29/2020 |
| Medicare PECOS PAC ID | 1052718582 |
|---|---|
| Medicare Enrollment ID | O20210924002203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144817867 | NPI | - | NPPES |
| 1962988030 | Other | MI | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa R Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962988030 PECOS PAC ID: 2961809496 Enrollment ID: I20210927002713 |
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