Provider Demographics
NPI:1770360430
Name:INSPIRATIONAL WELL-BEING, LLC
Entity type:Organization
Organization Name:INSPIRATIONAL WELL-BEING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:
Authorized Official - First Name:HAKIM
Authorized Official - Middle Name:
Authorized Official - Last Name:NURU
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:330-802-4668
Mailing Address - Street 1:388 S MAIN ST STE 440
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44311-4407
Mailing Address - Country:US
Mailing Address - Phone:330-802-4668
Mailing Address - Fax:
Practice Address - Street 1:388 S MAIN ST STE 440
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44311-4407
Practice Address - Country:US
Practice Address - Phone:330-802-4668
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-14
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty