Provider Demographics
NPI:1598298846
Name:INSPIRE GROWTH, PC
Entity Type:Organization
Organization Name:INSPIRE GROWTH, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:TIEDE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:651-262-8144
Mailing Address - Street 1:19800 EVENSONG AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-8686
Mailing Address - Country:US
Mailing Address - Phone:651-262-8144
Mailing Address - Fax:
Practice Address - Street 1:19800 EVENSONG AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55024-8686
Practice Address - Country:US
Practice Address - Phone:651-262-8144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN3397106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty