Healthcare Provider Details

I. General information

NPI: 1902414733
Provider Name (Legal Business Name): INSPIRED MENTAL HEALTH & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2020
Last Update Date: 06/09/2021
Certification Date: 06/09/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 S BRIDGE ST STE A
BELDING MI
48809-1764
US

IV. Provider business mailing address

595 W PARMETER RD
IONIA MI
48846-9515
US

V. Phone/Fax

Practice location:
  • Phone: 231-425-8768
  • Fax: 616-591-5686
Mailing address:
  • Phone: 231-425-8768
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MRS. CARRIE LYNN BUCHOLTZ
Title or Position: OWNER/CLINICIAN
Credential: MA LPC
Phone: 231-425-8768