Provider Demographics
NPI:1629548755
Name:INSPIRE PROFESSIONAL COUNSELING PC
Entity Type:Organization
Organization Name:INSPIRE PROFESSIONAL COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:619-821-8200
Mailing Address - Street 1:1685 WHITSETT DR
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-1362
Mailing Address - Country:US
Mailing Address - Phone:619-504-1472
Mailing Address - Fax:
Practice Address - Street 1:4730 PALM AVE STE 214
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91941-5264
Practice Address - Country:US
Practice Address - Phone:619-821-8200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-01
Last Update Date:2018-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty