Provider Demographics
NPI:1417663964
Name:ASPIRE THERAPY PLLC
Entity Type:Organization
Organization Name:ASPIRE THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:VALLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, CTMH
Authorized Official - Phone:314-494-5946
Mailing Address - Street 1:121 E WILLOW BEND DR
Mailing Address - Street 2:
Mailing Address - City:GLEN CARBON
Mailing Address - State:IL
Mailing Address - Zip Code:62034-1539
Mailing Address - Country:US
Mailing Address - Phone:314-494-5946
Mailing Address - Fax:
Practice Address - Street 1:121 E WILLOW BEND DR
Practice Address - Street 2:
Practice Address - City:GLEN CARBON
Practice Address - State:IL
Practice Address - Zip Code:62034-1539
Practice Address - Country:US
Practice Address - Phone:314-494-5946
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty