Provider Demographics
NPI:1891340279
Name:ASPIRE INSIGHT THERAPY
Entity Type:Organization
Organization Name:ASPIRE INSIGHT THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:NEIMARK
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:530-416-9444
Mailing Address - Street 1:PO BOX 3674
Mailing Address - Street 2:
Mailing Address - City:INCLINE VILLAGE
Mailing Address - State:NV
Mailing Address - Zip Code:89450-3674
Mailing Address - Country:US
Mailing Address - Phone:530-416-9444
Mailing Address - Fax:
Practice Address - Street 1:945 DIVOT CT # 2
Practice Address - Street 2:
Practice Address - City:INCLINE VILLAGE
Practice Address - State:NV
Practice Address - Zip Code:89451-8873
Practice Address - Country:US
Practice Address - Phone:530-416-9444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)