Provider Demographics
NPI:1760870521
Name:INSPIREINYOU
Entity Type:Organization
Organization Name:INSPIREINYOU
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAUN
Authorized Official - Middle Name:DONNELL
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-462-6079
Mailing Address - Street 1:1259 BRIDGEFORD DR NW
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-4328
Mailing Address - Country:US
Mailing Address - Phone:336-462-6079
Mailing Address - Fax:980-265-0020
Practice Address - Street 1:1259 BRIDGEFORD DR NW
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-4328
Practice Address - Country:US
Practice Address - Phone:336-462-6079
Practice Address - Fax:980-265-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-02
Last Update Date:2015-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty