Provider Demographics
NPI:1083987564
Name:BE INSPIRED
Entity Type:Organization
Organization Name:BE INSPIRED
Other - Org Name:UNIQUELY DIFFERENT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:TRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:414-847-6258
Mailing Address - Street 1:500 W SILVER SPRING DR
Mailing Address - Street 2:STE K200
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-5051
Mailing Address - Country:US
Mailing Address - Phone:414-847-6258
Mailing Address - Fax:414-376-6336
Practice Address - Street 1:500 W SILVER SPRING DR
Practice Address - Street 2:STE K200
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53217-5051
Practice Address - Country:US
Practice Address - Phone:414-847-6258
Practice Address - Fax:414-376-6336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-15
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1861733677Medicaid