Provider Demographics
NPI:1508302720
Name:INSPIRED WELLNESS, INC
Entity Type:Organization
Organization Name:INSPIRED WELLNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:MADSON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:407-267-1060
Mailing Address - Street 1:192 COACH WAGONER BLVD
Mailing Address - Street 2:
Mailing Address - City:APALACHICOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32320-2150
Mailing Address - Country:US
Mailing Address - Phone:407-267-1060
Mailing Address - Fax:850-653-1602
Practice Address - Street 1:192 COACH WAGONER BLVD
Practice Address - Street 2:
Practice Address - City:APALACHICOLA
Practice Address - State:FL
Practice Address - Zip Code:32320-2150
Practice Address - Country:US
Practice Address - Phone:407-267-1060
Practice Address - Fax:850-653-1602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-11
Last Update Date:2017-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty