Provider Demographics
NPI:1568042257
Name:INSPIRE HEALTH AND WELLNESS LLC
Entity Type:Organization
Organization Name:INSPIRE HEALTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANNIELLE
Authorized Official - Middle Name:L
Authorized Official - Last Name:JASCOT
Authorized Official - Suffix:
Authorized Official - Credentials:CNS, CDN
Authorized Official - Phone:203-464-9355
Mailing Address - Street 1:31 STABLE LN
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-2131
Mailing Address - Country:US
Mailing Address - Phone:860-344-0377
Mailing Address - Fax:
Practice Address - Street 1:31 STABLE LN
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-2131
Practice Address - Country:US
Practice Address - Phone:860-344-0377
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty