Provider Demographics
NPI:1710585773
Name:IONA INSPIRATIONS, LLC
Entity Type:Organization
Organization Name:IONA INSPIRATIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:
Authorized Official - Last Name:JEAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, BC-DMT
Authorized Official - Phone:908-472-3917
Mailing Address - Street 1:1819 RUTHERFORD ST
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-5217
Mailing Address - Country:US
Mailing Address - Phone:908-472-3917
Mailing Address - Fax:
Practice Address - Street 1:1819 RUTHERFORD ST
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-5217
Practice Address - Country:US
Practice Address - Phone:908-472-3917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health