Provider Demographics
NPI:1639965908
Name:INSPIRE EVOLUTION COUNSELING, LLC
Entity type:Organization
Organization Name:INSPIRE EVOLUTION COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:DAVIS
Authorized Official - Last Name:LIFLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LMFT
Authorized Official - Phone:561-573-3107
Mailing Address - Street 1:120 E OAKLAND PARK BLVD STE 201
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33334-1109
Mailing Address - Country:US
Mailing Address - Phone:561-573-3107
Mailing Address - Fax:954-364-7036
Practice Address - Street 1:120 E OAKLAND PARK BLVD STE 201
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-1109
Practice Address - Country:US
Practice Address - Phone:561-573-3107
Practice Address - Fax:954-364-7036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty