Provider Demographics
NPI:1629800495
Name:INSPIRED CONNECTIONS RELATIONAL THERAPY AND CONSULTING
Entity type:Organization
Organization Name:INSPIRED CONNECTIONS RELATIONAL THERAPY AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RIKIA
Authorized Official - Middle Name:I
Authorized Official - Last Name:ANCAR
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:225-366-8672
Mailing Address - Street 1:1606 HEADWAY CIR STE 9550
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-5123
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1606 HEADWAY CIR STE 9550
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-5123
Practice Address - Country:US
Practice Address - Phone:225-366-8672
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-19
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)