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General NPI Number Information
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NPI Number | 1730059049
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Entity Type | Organization
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Legal Business Name | INSPIRE & ELEVATE PC
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 28 VALLEY RD
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2709
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Country | US
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Telephone | 201-503-4688
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Fax |
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Provider Business Mailing Address
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Address Line | 28 VALLEY RD
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City | MONTCLAIR
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State | NJ
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Zip | 07042-2709
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Country | US
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Telephone | 201-503-4688
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | SADE ASHANTI GLENN
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Credential | LPC
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Telephone | 201-503-4688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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