Healthcare Provider Details
I. General information
NPI: 1902761430
Provider Name (Legal Business Name): INSPIRE MKE LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5600 W FOND DU LAC AVE
MILWAUKEE WI
53216-1222
US
IV. Provider business mailing address
5600 W FOND DU LAC AVE
MILWAUKEE WI
53216-1222
US
V. Phone/Fax
- Phone: 414-793-5108
- Fax:
- Phone: 414-793-5108
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DINAH
L
WILLIAMS
Title or Position: OWNER/ DIRECTOR
Credential:
Phone: 414-793-5108