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General NPI Number Information
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NPI Number | 1134816143
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Entity Type | Organization
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Legal Business Name | INSPIRATIONAL THERAPY L.L.C.
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Dates
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Enumeration Date | 04/19/2023
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 55 N CEDAR ST STE 110
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City | POST FALLS
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State | ID
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Zip | 83854-6220
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Country | US
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Telephone | 208-699-5673
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Fax |
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Provider Business Mailing Address
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Address Line | 1201 LINCOLN WAY APT 107
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City | COEUR D ALENE
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State | ID
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Zip | 83814-2384
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Country | US
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Telephone | 208-699-5673
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Fax |
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Authorized Official
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Title or Position | THERAPIST MENTAL HEALTH
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Name | MS. CARMEN RENEE JEFFREY
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Credential | LMSW
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Telephone | 208-699-5673
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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