Provider Demographics
NPI:1760121974
Name:INSPIRED JOURNEYS COUNSELING AND CONSULTING SERVICES, LLC
Entity Type:Organization
Organization Name:INSPIRED JOURNEYS COUNSELING AND CONSULTING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CASANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAGAMN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:706-888-0430
Mailing Address - Street 1:2511 DOUBLE CHURCHES RD UNIT 1282
Mailing Address - Street 2:
Mailing Address - City:FORTSON
Mailing Address - State:GA
Mailing Address - Zip Code:31808-7761
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:185 MADDOX RD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:GA
Practice Address - Zip Code:31811-4314
Practice Address - Country:US
Practice Address - Phone:706-888-0430
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-04
Last Update Date:2022-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty