MEDICARE: BE INSPIRED

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
1	251S00000X	Community/Behavioral Health Agency
2	251B00000X	Case Management Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1083987564
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BE INSPIRED

Provider Business Mailing Address
First Line	:	500 W SILVER SPRING DR
Second Line	:	STE K200
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-5051
Country	:	US
Telephone Number	:	414-847-6258
Fax Number	:	414-376-6336

Provider Business Practice Location Address
First Line	:	500 W SILVER SPRING DR
Second Line	:	STE K200
City	:	MILWAUKEE
State	:	WI
Zip	:	53217-5051
Country	:	US
Telephone Number	:	414-847-6258
Fax Number	:	414-376-6336

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. DENNA TRIGGS
Credential	:	BA
Telephone Number	:	414-847-6258

Provider Enumeration Date	:	02/15/2012
Last Update Date	:	03/04/2014

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Directions to “BE INSPIRED ” Practice Location

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