Provider Demographics
NPI:1578287983
Name:HOPE2INSPIRE
Entity Type:Organization
Organization Name:HOPE2INSPIRE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:APSW, SACIT
Authorized Official - Phone:608-574-6949
Mailing Address - Street 1:8295 STATE ROAD 39
Mailing Address - Street 2:
Mailing Address - City:HOLLANDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53544-9449
Mailing Address - Country:US
Mailing Address - Phone:608-574-6949
Mailing Address - Fax:844-502-1200
Practice Address - Street 1:8295 STATE ROAD 39
Practice Address - Street 2:
Practice Address - City:HOLLANDALE
Practice Address - State:WI
Practice Address - Zip Code:53544-9449
Practice Address - Country:US
Practice Address - Phone:608-574-6949
Practice Address - Fax:844-502-1200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty