Provider Demographics
NPI:1710575816
Name:INSPIRE FAMILY SERVICES LLC
Entity Type:Organization
Organization Name:INSPIRE FAMILY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR.
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:WEAVER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC, CAADC, CSAC
Authorized Official - Phone:804-517-5921
Mailing Address - Street 1:1139 W AUGUSTA AVE
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23803-5514
Mailing Address - Country:US
Mailing Address - Phone:804-255-4337
Mailing Address - Fax:804-431-2655
Practice Address - Street 1:1139 W AUGUSTA AVE
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-5514
Practice Address - Country:US
Practice Address - Phone:804-255-4337
Practice Address - Fax:804-431-2655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-05
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty