Provider Demographics
NPI:1902414733
Name:INSPIRED MENTAL HEALTH & WELLNESS LLC
Entity Type:Organization
Organization Name:INSPIRED MENTAL HEALTH & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:BUCHOLTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPC
Authorized Official - Phone:231-425-8768
Mailing Address - Street 1:595 W PARMETER RD
Mailing Address - Street 2:
Mailing Address - City:IONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48846-9515
Mailing Address - Country:US
Mailing Address - Phone:231-425-8768
Mailing Address - Fax:
Practice Address - Street 1:318 S BRIDGE ST STE A
Practice Address - Street 2:
Practice Address - City:BELDING
Practice Address - State:MI
Practice Address - Zip Code:48809-1764
Practice Address - Country:US
Practice Address - Phone:231-425-8768
Practice Address - Fax:616-591-5686
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-17
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)