Healthcare Provider Details
I. General information
NPI: 1780241208
Provider Name (Legal Business Name): INSPIRE ME COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/20/2019
Last Update Date: 05/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
60 MARKET ST STE 213
GAITHERSBURG MD
20878-6559
US
IV. Provider business mailing address
8 BROOKES AVE STE 200
GAITHERSBURG MD
20877-2799
US
V. Phone/Fax
- Phone: 240-813-4433
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SIERRA
BREWER
Title or Position: OWNER/THERAPIST
Credential: LCSW-C
Phone: 704-779-3997