Provider Demographics
NPI:1346801214
Name:INSPIRED, LLC
Entity Type:Organization
Organization Name:INSPIRED, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TAKIERA
Authorized Official - Middle Name:
Authorized Official - Last Name:EL-AMIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-228-0760
Mailing Address - Street 1:2505 WARWICK AVE
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-7913
Mailing Address - Country:US
Mailing Address - Phone:434-228-0760
Mailing Address - Fax:
Practice Address - Street 1:2505 WARWICK AVE
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-7913
Practice Address - Country:US
Practice Address - Phone:434-228-0760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2019-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health