Healthcare Provider Details

I. General information

NPI: 1184349920
Provider Name (Legal Business Name): INSPIRATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2022
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 S TELSHOR BLVD STE G4
LAS CRUCES NM
88011-8669
US

IV. Provider business mailing address

755 S TELSHOR BLVD STE G4
LAS CRUCES NM
88011-8669
US

V. Phone/Fax

Practice location:
  • Phone: 575-518-3340
  • Fax:
Mailing address:
  • Phone: 575-518-3340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1100X
TaxonomyResearch Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RYAN FEEBACK
Title or Position: CEO
Credential:
Phone: 575-518-3340