Provider Demographics
NPI:1942704085
Name:INSPIRING MENTAL HEALTH COUNSELING, PC
Entity Type:Organization
Organization Name:INSPIRING MENTAL HEALTH COUNSELING, PC
Other - Org Name:INSPIRING MENTAL WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:COURTNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:EBLING
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:716-430-6606
Mailing Address - Street 1:3032 WALBRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-3157
Mailing Address - Country:US
Mailing Address - Phone:716-863-0997
Mailing Address - Fax:
Practice Address - Street 1:1517 MAIN ST
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14305
Practice Address - Country:US
Practice Address - Phone:716-430-6606
Practice Address - Fax:716-828-8234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-22
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1710144258OtherMY INDIVIDUAL PROVIDER NPI (IF NEEDED)