MEDICARE: UNDERSTANDING & INSPIRATION INCORPORATED

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

General Provider Information

NPI Number	:	1558794925
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNDERSTANDING & INSPIRATION INCORPORATED

Provider Business Mailing Address
First Line	:	204 LENTZ PL
Second Line	:
City	:	NEWPORT NEWS
State	:	VA
Zip	:	23602-7488
Country	:	US
Telephone Number	:	678-559-5058
Fax Number	:

Provider Business Practice Location Address
First Line	:	6135 PARK SOUTH DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28210-3272
Country	:	US
Telephone Number	:	678-559-5058
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DIRECTOR
Name	:	MR. CARLOS LASHAWN COTTIE
Credential	:	QP
Telephone Number	:	678-559-5058

Provider Enumeration Date	:	08/20/2013
Last Update Date	:	08/20/2013

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