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NPI Code Detail

MEDICARE: INSPIRING CHANGE LLC

MEDICARE: INSPIRING CHANGE 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
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1689261828
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSPIRING CHANGE LLC
Provider Business Mailing Address
First Line : 205B S DUFFY RD STE 2
Second Line :
City : BUTLER
State : PA
Zip : 16001-2708
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 205 S DUFFY RD STE B
Second Line :
City : BUTLER
State : PA
Zip : 16001-2789
Country : US
Telephone Number : 724-504-8164
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHAEL WATTERSON
Credential : PSYD
Telephone Number : 724-256-9881
Provider Enumeration Date : 12/22/2020
Last Update Date : 04/14/2025

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Directions to “INSPIRING CHANGE LLC ” Practice Location

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