MEDICARE: INSPIRATIONAL THERAPY, LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1447050364
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRATIONAL THERAPY, LLC

Provider Business Mailing Address
First Line	:	3190 CITRUS TOWER BLVD STE B
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-6886
Country	:	US
Telephone Number	:	352-404-6742
Fax Number	:

Provider Business Practice Location Address
First Line	:	3190 CITRUS TOWER BLVD STE B
Second Line	:
City	:	CLERMONT
State	:	FL
Zip	:	34711-6886
Country	:	US
Telephone Number	:	352-404-6742
Fax Number	:	352-404-6752

Authorized Official
Title or Position	:	OWNER
Name	:	NILDA MARIE LAGUNA LUGO
Credential	:
Telephone Number	:	786-926-1424

Provider Enumeration Date	:	03/18/2025
Last Update Date	:	07/14/2025

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