Provider Demographics
NPI:1457102857
Name:WITHINSPIRE, LLC
Entity Type:Organization
Organization Name:WITHINSPIRE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:LLC
Authorized Official - Phone:517-237-3950
Mailing Address - Street 1:3010 GIBSON ST
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-2380
Mailing Address - Country:US
Mailing Address - Phone:517-930-0579
Mailing Address - Fax:
Practice Address - Street 1:1451 E LANSING DR STE 213B
Practice Address - Street 2:
Practice Address - City:EAST LANSING
Practice Address - State:MI
Practice Address - Zip Code:48823-2993
Practice Address - Country:US
Practice Address - Phone:517-237-3950
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty