Provider Demographics
NPI:1720858202
Name:ASPIRE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:ASPIRE HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CEPHUS
Authorized Official - Middle Name:DEMARCUS
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-441-3498
Mailing Address - Street 1:225 CROSLAND AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24540-1321
Mailing Address - Country:US
Mailing Address - Phone:434-441-3498
Mailing Address - Fax:
Practice Address - Street 1:3 PARK AVENUE EXT
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-4214
Practice Address - Country:US
Practice Address - Phone:434-441-3498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health