Provider Demographics
NPI:1639939341
Name:HELLO INSPIRED
Entity Type:Organization
Organization Name:HELLO INSPIRED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:L
Authorized Official - Last Name:FEDORENKO
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMFT
Authorized Official - Phone:320-420-3846
Mailing Address - Street 1:235 3RD ST SE UNIT 4
Mailing Address - Street 2:
Mailing Address - City:RICE
Mailing Address - State:MN
Mailing Address - Zip Code:56367-5001
Mailing Address - Country:US
Mailing Address - Phone:320-420-3846
Mailing Address - Fax:
Practice Address - Street 1:235 3RD ST SE UNIT 4
Practice Address - Street 2:
Practice Address - City:RICE
Practice Address - State:MN
Practice Address - Zip Code:56367-5001
Practice Address - Country:US
Practice Address - Phone:320-420-3846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-20
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty