Provider Demographics
NPI:1356541312
Name:ISAIAH INSPIRED, PLC
Entity type:Organization
Organization Name:ISAIAH INSPIRED, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:SHANETTA
Authorized Official - Last Name:WESLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:501-765-7617
Mailing Address - Street 1:415 N MCKINLEY ST STE 210
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-3265
Mailing Address - Country:US
Mailing Address - Phone:501-765-7617
Mailing Address - Fax:501-227-0493
Practice Address - Street 1:415 N MCKINLEY ST STE 210
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-3265
Practice Address - Country:US
Practice Address - Phone:501-765-7617
Practice Address - Fax:501-227-0493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR1876101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty