Healthcare Provider Details

I. General information

NPI: 1225756174
Provider Name (Legal Business Name): INSPIRATION WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2022
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1997 ANNAPOLIS EXCHANGE PKWY STE 300
ANNAPOLIS MD
21401-3273
US

IV. Provider business mailing address

1997 ANNAPOLIS EXCHANGE PKWY STE 300
ANNAPOLIS MD
21401-3273
US

V. Phone/Fax

Practice location:
  • Phone: 410-635-1184
  • Fax: 410-630-8087
Mailing address:
  • Phone: 410-635-1184
  • Fax: 410-630-8087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: REBECCA ROSS
Title or Position: CEO, FOUNDER
Credential: CPPM
Phone: 410-635-1184