Provider Demographics
NPI:1508470329
Name:INSPIRED COUNSELING AND WELLNESS
Entity Type:Organization
Organization Name:INSPIRED COUNSELING AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNCHA
Authorized Official - Middle Name:PHILLIPS
Authorized Official - Last Name:DATO
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:503-560-0802
Mailing Address - Street 1:161 HIGH ST SE STE 209
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-3693
Mailing Address - Country:US
Mailing Address - Phone:503-560-0802
Mailing Address - Fax:971-273-7253
Practice Address - Street 1:161 HIGH ST SE STE 209
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-3693
Practice Address - Country:US
Practice Address - Phone:503-560-0802
Practice Address - Fax:971-273-7253
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-31
Last Update Date:2020-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty