Provider Demographics
NPI:1164768313
Name:JFM INSPIRATIONS COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:JFM INSPIRATIONS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:ALISA
Authorized Official - Middle Name:J
Authorized Official - Last Name:FURCH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:602-299-3545
Mailing Address - Street 1:4119 N MITCHELL ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85014-4815
Mailing Address - Country:US
Mailing Address - Phone:602-374-2299
Mailing Address - Fax:602-374-2299
Practice Address - Street 1:4119 N MITCHELL ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85014-4815
Practice Address - Country:US
Practice Address - Phone:602-374-2299
Practice Address - Fax:602-374-2299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBH4141323P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility