Provider Demographics
NPI:1073080891
Name:ASPIRE BEHAVIORAL HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ASPIRE BEHAVIORAL HEALTH SERVICES LLC
Other - Org Name:ASPIRE ABA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/CHIEF ORGANIZATION OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARCIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LARRIEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-231-2447
Mailing Address - Street 1:1202 BROADWAY ST N
Mailing Address - Street 2:
Mailing Address - City:MENOMONIE
Mailing Address - State:WI
Mailing Address - Zip Code:54751-1517
Mailing Address - Country:US
Mailing Address - Phone:715-231-2447
Mailing Address - Fax:715-231-1817
Practice Address - Street 1:1202 BROADWAY ST N
Practice Address - Street 2:
Practice Address - City:MENOMONIE
Practice Address - State:WI
Practice Address - Zip Code:54751-1517
Practice Address - Country:US
Practice Address - Phone:715-231-2447
Practice Address - Fax:715-231-1817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-30
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty