Provider Demographics
NPI:1750719522
Name:INSPIRED CHANGES INC.
Entity type:Organization
Organization Name:INSPIRED CHANGES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:SORENSEN-REID
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:214-437-7415
Mailing Address - Street 1:2030 STATLER DR
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75007-5441
Mailing Address - Country:US
Mailing Address - Phone:214-437-7415
Mailing Address - Fax:
Practice Address - Street 1:2030 STATLER DR
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75007-5441
Practice Address - Country:US
Practice Address - Phone:214-437-7415
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-14
Last Update Date:2013-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXMT034824174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty