Provider Demographics
NPI:1467181032
Name:SPIRITUALLY INCLINED
Entity Type:Organization
Organization Name:SPIRITUALLY INCLINED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACSW, QMHP
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:CHERIE
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:ACSW, QMHO
Authorized Official - Phone:702-983-3130
Mailing Address - Street 1:4509 DAGNAR CT
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89031-0483
Mailing Address - Country:US
Mailing Address - Phone:702-983-3130
Mailing Address - Fax:
Practice Address - Street 1:4509 DAGNAR CT
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89031-0483
Practice Address - Country:US
Practice Address - Phone:702-983-3130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-08
Last Update Date:2022-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty