Provider Demographics
NPI:1558039776
Name:INSPIRED COUNSELING SERVICES LCSW PLLC
Entity Type:Organization
Organization Name:INSPIRED COUNSELING SERVICES LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:V
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWR
Authorized Official - Phone:845-462-2619
Mailing Address - Street 1:3 NEPTUNE RD STE A19B
Mailing Address - Street 2:
Mailing Address - City:POUGHKEEPSIE
Mailing Address - State:NY
Mailing Address - Zip Code:12601-5569
Mailing Address - Country:US
Mailing Address - Phone:845-462-2619
Mailing Address - Fax:888-205-6179
Practice Address - Street 1:3 NEPTUNE RD STE A19B
Practice Address - Street 2:
Practice Address - City:POUGHKEEPSIE
Practice Address - State:NY
Practice Address - Zip Code:12601-5569
Practice Address - Country:US
Practice Address - Phone:845-462-2619
Practice Address - Fax:888-205-6179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-01
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA300192869Medicaid