Provider Demographics
NPI:1073395570
Name:INSPIRING RELATIONSHIPS COUNSELING
Entity Type:Organization
Organization Name:INSPIRING RELATIONSHIPS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:BACKFISCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-321-8924
Mailing Address - Street 1:3403 BCR 725
Mailing Address - Street 2:
Mailing Address - City:ZALMA
Mailing Address - State:MO
Mailing Address - Zip Code:63787-8769
Mailing Address - Country:US
Mailing Address - Phone:573-321-8924
Mailing Address - Fax:
Practice Address - Street 1:105B N OAK ST
Practice Address - Street 2:
Practice Address - City:ADVANCE
Practice Address - State:MO
Practice Address - Zip Code:63730-8337
Practice Address - Country:US
Practice Address - Phone:573-321-8924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty