MEDICARE: INSPIRATIONS FOR POSITIVE LIVING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093957805
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRATIONS FOR POSITIVE LIVING

Provider Business Mailing Address
First Line	:	6004 NUTHATCH CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-5524
Country	:	US
Telephone Number	:	980-229-6581
Fax Number	:	704-837-0702

Provider Business Practice Location Address
First Line	:	6004 NUTHATCH CT
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28277-5524
Country	:	US
Telephone Number	:	980-229-6581
Fax Number	:	704-837-0702

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MS. BALRIE PARKS
Credential	:
Telephone Number	:	980-229-6581

Provider Enumeration Date	:	03/26/2009
Last Update Date	:	03/26/2009

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Directions to “INSPIRATIONS FOR POSITIVE LIVING ” Practice Location

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