Provider Demographics
NPI:1457985939
Name:ASPIRE THERAPY SERVICES LLC
Entity type:Organization
Organization Name:ASPIRE THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:EVALEE
Authorized Official - Middle Name:PAIGE
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:843-868-2700
Mailing Address - Street 1:149 RIVERWALK BLVD STE 17
Mailing Address - Street 2:
Mailing Address - City:RIDGELAND
Mailing Address - State:SC
Mailing Address - Zip Code:29936-8191
Mailing Address - Country:US
Mailing Address - Phone:843-368-0458
Mailing Address - Fax:843-962-5342
Practice Address - Street 1:149 RIVERWALK BLVD STE 17
Practice Address - Street 2:
Practice Address - City:RIDGELAND
Practice Address - State:SC
Practice Address - Zip Code:29936-8191
Practice Address - Country:US
Practice Address - Phone:843-368-0458
Practice Address - Fax:843-962-5342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-24
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty