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General NPI Number Information
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NPI Number | 1306614029
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Entity Type | Organization
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Legal Business Name | INSPIRE LIFE THERAPY
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Dates
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Enumeration Date | 12/12/2023
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 4 SAN JOSE DR
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City | NEWPORT NEWS
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State | VA
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Zip | 23606-3504
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Country | US
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Telephone | 757-279-8009
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Fax | 888-350-0073
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Provider Business Mailing Address
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Address Line | 1730 GEORGE WASHINGTON MEM HWY
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City | YORKTOWN
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State | VA
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Zip | 23693-4328
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Country | US
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Telephone | 757-279-8009
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Fax |
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Authorized Official
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Title or Position | OWNER, PSYCHOTHERAPIST
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Name | MRS. MEGAN LEANNE ORAVETZ
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Credential | LPC, LMFT
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Telephone | 757-279-8009
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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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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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