MEDICARE: INSPIRE WELLNESS LLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1275473373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRE WELLNESS LLC

Provider Business Mailing Address
First Line	:	330 2ND AVE S STE 2001091
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55401-5500
Country	:	US
Telephone Number	:	734-747-0772
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 2ND AVE S STE 2001091
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55401-5500
Country	:	US
Telephone Number	:	734-747-0772
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH PROFESSIONAL
Name	:	FAHMO HANS
Credential	:	LPCC
Telephone Number	:	734-747-0772

Provider Enumeration Date	:	03/30/2026
Last Update Date	:	03/30/2026

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Directions to “INSPIRE WELLNESS LLC ” Practice Location

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