Provider Demographics
NPI:1497156467
Name:INSPIRE CONSULTING & COUNSELING, PC, LLC
Entity Type:Organization
Organization Name:INSPIRE CONSULTING & COUNSELING, PC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:D
Authorized Official - Last Name:HAMAN-MARCUM
Authorized Official - Suffix:
Authorized Official - Credentials:MSSW, LCSW
Authorized Official - Phone:720-231-0353
Mailing Address - Street 1:PO BOX 726
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:CO
Mailing Address - Zip Code:80807-0726
Mailing Address - Country:US
Mailing Address - Phone:720-231-0353
Mailing Address - Fax:
Practice Address - Street 1:80 E 1ST N
Practice Address - Street 2:STE 3
Practice Address - City:CHEYENNE WELLS
Practice Address - State:CO
Practice Address - Zip Code:80810
Practice Address - Country:US
Practice Address - Phone:720-231-0353
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-10
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO992106251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO62673734Medicaid
CO62673734Medicaid