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NPI Code Detail

MEDICARE: INSPIRED GROWTH COMMUNITY SUPPORT GROUP

MEDICARE: INSPIRED GROWTH COMMUNITY SUPPORT GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2251B00000XCase Management Agency
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4322D00000XEmotionally Disturbed Childrens' Residential Treatment Facility

General Provider Information

NPI Number : 1003766817
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSPIRED GROWTH COMMUNITY SUPPORT GROUP
Provider Business Mailing Address
First Line : 1931 LAMM DR APT 3304
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-2802
Country : US
Telephone Number : 980-205-5658
Fax Number :
Provider Business Practice Location Address
First Line : 1931 LAMM DR APT 3304
Second Line :
City : CHARLOTTE
State : NC
Zip : 28262-2802
Country : US
Telephone Number : 980-205-5658
Fax Number :
Authorized Official
Title or Position : PROGRAM DIRECTOR
Name : PATRICE HUNT
Credential :
Telephone Number : 980-205-5658
Provider Enumeration Date : 01/31/2026
Last Update Date : 04/06/2026

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Directions to “INSPIRED GROWTH COMMUNITY SUPPORT GROUP ” Practice Location

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