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NPI 1366201204

NPI 1366201204 : INSPIRE COUNSELING LLC : GLASGOW, KY

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General NPI Number Information
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    NPI Number           |    1366201204
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    Entity Type          |    Organization 
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    Legal Business Name  |    INSPIRE COUNSELING LLC 
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Dates
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    Enumeration Date     |    03/14/2024
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    Last Update Date     |    01/14/2025
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Provider Practice Location Address
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    Address Line         |    222 W WASHINGTON ST 
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    City                 |    GLASGOW
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    State                |    KY
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    Zip                  |    42141-2441
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    Country              |    US
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    Telephone            |    270-629-6836
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    Fax                  |    270-629-6837
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Provider Business Mailing Address
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    Address Line         |    222 W WASHINGTON ST 
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    City                 |    GLASGOW
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    State                |    KY
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    Zip                  |    42141-2441
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    Country              |    US
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    Telephone            |    270-629-6836
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    Fax                  |    270-629-6837
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Authorized Official
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    Title or Position    |    CLINICAL DIRECTOR/THERAPIST
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    Name                 |     JESSICA  BLAIR 
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    Credential           |    
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    Telephone            |    270-629-6836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/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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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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