Provider Demographics
NPI:1790249670
Name:INSPIRED BY U, LLC
Entity Type:Organization
Organization Name:INSPIRED BY U, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:CHANTELLE
Authorized Official - Last Name:BRICKHOUSE
Authorized Official - Suffix:
Authorized Official - Credentials:QDDD
Authorized Official - Phone:757-337-7396
Mailing Address - Street 1:PO BOX 61695
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23466-1695
Mailing Address - Country:US
Mailing Address - Phone:757-337-7396
Mailing Address - Fax:
Practice Address - Street 1:4904 MANDAN RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-5839
Practice Address - Country:US
Practice Address - Phone:757-337-7396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-25
Last Update Date:2019-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services