Provider Demographics
NPI:1285205534
Name:INSPIRED SUCCESS PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:INSPIRED SUCCESS PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MORKEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP
Authorized Official - Phone:507-450-5135
Mailing Address - Street 1:515 2ND AVE NW
Mailing Address - Street 2:
Mailing Address - City:SPRING GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55974-1207
Mailing Address - Country:US
Mailing Address - Phone:507-450-5135
Mailing Address - Fax:
Practice Address - Street 1:2477 CLARE LN NE STE 300
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55906-8422
Practice Address - Country:US
Practice Address - Phone:507-722-0009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty