Provider Demographics
NPI:1881016186
Name:INSPIRATIONAL CARE
Entity Type:Organization
Organization Name:INSPIRATIONAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:CORTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNLAP
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-306-9238
Mailing Address - Street 1:15 SPRING ST
Mailing Address - Street 2:
Mailing Address - City:PLAINVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06062-3202
Mailing Address - Country:US
Mailing Address - Phone:860-306-9238
Mailing Address - Fax:860-651-3892
Practice Address - Street 1:125 LATIMER LN
Practice Address - Street 2:
Practice Address - City:WEATOGUE
Practice Address - State:CT
Practice Address - Zip Code:06089-9735
Practice Address - Country:US
Practice Address - Phone:860-306-9238
Practice Address - Fax:860-651-3892
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-06
Last Update Date:2014-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2466251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT459898OtherAVAILITY