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General NPI Number Information
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NPI Number | 1801594635
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Entity Type | Organization
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Legal Business Name | INSPIRE CARE CENTER, LLC
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Dates
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Enumeration Date | 02/21/2023
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 15W150 S FRONTAGE RD
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City | BURR RIDGE
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State | IL
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Zip | 60527-6956
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Country | US
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Telephone | 630-566-3507
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Fax | 815-846-1188
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Provider Business Mailing Address
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Address Line | 9007 SAFE HAVEN PL
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City | SPRING HILL
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State | TN
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Zip | 37174-6420
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Country | US
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Telephone | 615-489-9972
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Fax | 815-846-1188
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Authorized Official
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Title or Position | OWNER
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Name | SARAH DEVERNA
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Credential |
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Telephone | 615-489-9972
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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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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TA0700X
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Taxonomy Name | Adult Development & Aging Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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