Provider Demographics
NPI:1710326897
Name:COACHING INSPIRATIONS
Entity Type:Organization
Organization Name:COACHING INSPIRATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-454-1272
Mailing Address - Street 1:104 KIMBERLYS WAY
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:GA
Mailing Address - Zip Code:30143-4787
Mailing Address - Country:US
Mailing Address - Phone:678-454-1272
Mailing Address - Fax:
Practice Address - Street 1:225 CREEKSTONE RDG
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-3744
Practice Address - Country:US
Practice Address - Phone:678-454-1272
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-21
Last Update Date:2013-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty