Healthcare Provider Details

I. General information

NPI: 1922807676
Provider Name (Legal Business Name): INSPIRING MENTAL WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6811 167TH ST UNIT 2
TINLEY PARK IL
60477-2501
US

IV. Provider business mailing address

6811 167TH ST UNIT 2
TINLEY PARK IL
60477-2501
US

V. Phone/Fax

Practice location:
  • Phone: 708-232-8854
  • Fax: 708-854-0714
Mailing address:
  • Phone: 708-232-8854
  • Fax: 708-854-0714

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: BRANDY MCCRUDDEN
Title or Position: OWNER/NP
Credential: DNP
Phone: 708-232-8854