Healthcare Provider Details

I. General information

NPI: 1033038864
Provider Name (Legal Business Name): INSPIRE THE CHANGE FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 SARDIS RD N STE 135
CHARLOTTE NC
28270-0021
US

IV. Provider business mailing address

1805 SARDIS RD N STE 135
CHARLOTTE NC
28270-0021
US

V. Phone/Fax

Practice location:
  • Phone: 704-491-8788
  • Fax: 704-559-3823
Mailing address:
  • Phone: 704-491-8788
  • Fax: 704-559-3823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: PRISCILLA DAHN
Title or Position: EXCEUTIVE DIRECTOR
Credential:
Phone: 704-491-8788