Provider Demographics
NPI: | 1811480478 |
---|---|
Name: | INNER PEACE INSPIRATIONS, LLC |
Entity type: | Organization |
Organization Name: | INNER PEACE INSPIRATIONS, LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER/PSYCHOTHERAPIST |
Authorized Official - Prefix: | |
Authorized Official - First Name: | KARIN |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | SENFT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | LCSW-C |
Authorized Official - Phone: | 301-235-2909 |
Mailing Address - Street 1: | 8455 FENTON ST APT 233 |
Mailing Address - Street 2: | |
Mailing Address - City: | SILVER SPRING |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 20910-5000 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 301-235-2909 |
Mailing Address - Fax: | 240-244-6365 |
Practice Address - Street 1: | 8455 FENTON ST APT 233 |
Practice Address - Street 2: | |
Practice Address - City: | SILVER SPRING |
Practice Address - State: | MD |
Practice Address - Zip Code: | 20910-5000 |
Practice Address - Country: | US |
Practice Address - Phone: | 301-235-2909 |
Practice Address - Fax: | 240-244-6365 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2018-06-08 |
Last Update Date: | 2023-05-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Single Specialty |