Healthcare Provider Details

I. General information

NPI: 1174198063
Provider Name (Legal Business Name): INSPIRING INSIGHT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2021
Last Update Date: 05/24/2021
Certification Date: 05/24/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 COCASSET ST
FOXBORO MA
02035-3059
US

IV. Provider business mailing address

21 COCASSET ST
FOXBORO MA
02035-3059
US

V. Phone/Fax

Practice location:
  • Phone: 781-436-2025
  • Fax: 617-209-6724
Mailing address:
  • Phone: 781-436-2025
  • Fax: 617-209-6724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: LEIGH RILEY
Title or Position: LMHC
Credential:
Phone: 781-436-2025