Healthcare Provider Details

I. General information

NPI: 1063991313
Provider Name (Legal Business Name): INSPIRE YOUTHS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2018
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 LAKEN DR
WEST PALM BEACH FL
33409-3610
US

IV. Provider business mailing address

206 LAKEN DR
WEST PALM BEACH FL
33409-3610
US

V. Phone/Fax

Practice location:
  • Phone: 561-801-4946
  • Fax:
Mailing address:
  • Phone: 561-801-4946
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DEVON BUCHANAN
Title or Position: DIRECTOR
Credential:
Phone: 561-801-4946