Provider Demographics
NPI:1629734991
Name:INSPIRATIONS OF COURAGE, PLLC
Entity Type:Organization
Organization Name:INSPIRATIONS OF COURAGE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CHARISMA
Authorized Official - Middle Name:SPARKLE
Authorized Official - Last Name:PRYOR
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:708-480-2705
Mailing Address - Street 1:PO BOX 5392
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60567-5392
Mailing Address - Country:US
Mailing Address - Phone:708-480-2705
Mailing Address - Fax:630-470-9342
Practice Address - Street 1:1755 PARK ST STE 200
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-8404
Practice Address - Country:US
Practice Address - Phone:708-480-2705
Practice Address - Fax:630-470-9342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty