Healthcare Provider Details

I. General information

NPI: 1134691975
Provider Name (Legal Business Name): INSPIRE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2018
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32298 STATE HIGHWAY 13
MONTGOMERY MN
56069-4348
US

IV. Provider business mailing address

32298 STATE HIGHWAY 13
MONTGOMERY MN
56069-4348
US

V. Phone/Fax

Practice location:
  • Phone: 507-364-5312
  • Fax: 507-364-5908
Mailing address:
  • Phone: 507-364-5312
  • Fax: 507-364-5908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN LOUIS BEULKE
Title or Position: OWNER/CFO
Credential:
Phone: 612-240-8813