Provider Demographics
NPI:1831704972
Name:ASPIRE COUNSELING AND CONSULTING SERVICES LLC
Entity type:Organization
Organization Name:ASPIRE COUNSELING AND CONSULTING SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:JAMAL
Authorized Official - Last Name:SHIREH
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:952-649-0229
Mailing Address - Street 1:1821 UNIVERSITY AVE W STE 131
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55104-2801
Mailing Address - Country:US
Mailing Address - Phone:952-649-0229
Mailing Address - Fax:651-666-1236
Practice Address - Street 1:1821 UNIVERSITY AVE W STE 131
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-2801
Practice Address - Country:US
Practice Address - Phone:952-649-0229
Practice Address - Fax:651-666-1236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health