Provider Demographics
NPI:1376129668
Name:INSPIRED VISIONS SUPPORT SERVICES, INC.
Entity Type:Organization
Organization Name:INSPIRED VISIONS SUPPORT SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALLISHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:WATTS
Authorized Official - Suffix:
Authorized Official - Credentials:QPMA
Authorized Official - Phone:800-792-9201
Mailing Address - Street 1:129 S BIRCH AVE STE A
Mailing Address - Street 2:
Mailing Address - City:SILER CITY
Mailing Address - State:NC
Mailing Address - Zip Code:27344-3405
Mailing Address - Country:US
Mailing Address - Phone:800-792-9201
Mailing Address - Fax:919-972-2792
Practice Address - Street 1:129 S BIRCH AVE STE A
Practice Address - Street 2:
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-3405
Practice Address - Country:US
Practice Address - Phone:800-792-9201
Practice Address - Fax:919-972-2792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health