Provider Demographics
NPI:1790463271
Name:BE INSPIRED COUNSELING SERVICES INC
Entity Type:Organization
Organization Name:BE INSPIRED COUNSELING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:IRENA
Authorized Official - Last Name:FOOTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:321-301-0180
Mailing Address - Street 1:PO BOX 237612
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32923-7612
Mailing Address - Country:US
Mailing Address - Phone:321-301-0180
Mailing Address - Fax:
Practice Address - Street 1:881 BARTON BLVD STE 8
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-3143
Practice Address - Country:US
Practice Address - Phone:321-301-0180
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2023-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health