Healthcare Provider Details

I. General information

NPI: 1982136891
Provider Name (Legal Business Name): INSPIRIT COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2017
Last Update Date: 03/30/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 W VALLEY RD 702
WAYNE PA
19087-1830
US

IV. Provider business mailing address

287 ORCHARD RD
PAOLI PA
19301-1115
US

V. Phone/Fax

Practice location:
  • Phone: 484-832-4834
  • Fax:
Mailing address:
  • Phone: 484-832-4834
  • Fax: 484-552-4818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License NumberPC009463
License Number StatePA

VIII. Authorized Official

Name: SHARON FINN
Title or Position: CHIEF PRACTITIONER
Credential: MA, LPC
Phone: 484-832-4834