Provider Demographics
NPI:1659973196
Name:TRANSPIRE MENTAL HEALTH
Entity Type:Organization
Organization Name:TRANSPIRE MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO,FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TERA
Authorized Official - Middle Name:
Authorized Official - Last Name:NDOLBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:567-280-6124
Mailing Address - Street 1:811 3RD AVE APT G3
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:OH
Mailing Address - Zip Code:43420-3247
Mailing Address - Country:US
Mailing Address - Phone:567-280-6124
Mailing Address - Fax:567-280-4080
Practice Address - Street 1:416 W STATE ST STE 201
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:OH
Practice Address - Zip Code:43420-2577
Practice Address - Country:US
Practice Address - Phone:567-280-6124
Practice Address - Fax:567-280-4080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health