Healthcare Provider Details

I. General information

NPI: 1164243697
Provider Name (Legal Business Name): INSPIRATION CONSULTING SERVICES OF NELA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2024
Last Update Date: 10/17/2024
Certification Date: 10/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 STUBBS AVE
MONROE LA
71201-5622
US

IV. Provider business mailing address

1210 STUBBS AVE
MONROE LA
71201-5622
US

V. Phone/Fax

Practice location:
  • Phone: 318-614-6831
  • Fax: 318-325-8749
Mailing address:
  • Phone: 318-614-6831
  • Fax: 318-325-8749

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH L DOUBLIN
Title or Position: OWNER
Credential: LCSW-BACS
Phone: 318-614-6831