MEDICARE: INSPIRE MKE 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	106S00000X	Behavior Technician

General Provider Information

NPI Number	:	1902761430
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INSPIRE MKE LLC

Provider Business Mailing Address
First Line	:	5600 W FOND DU LAC AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-1222
Country	:	US
Telephone Number	:	414-793-5108
Fax Number	:

Provider Business Practice Location Address
First Line	:	5600 W FOND DU LAC AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-1222
Country	:	US
Telephone Number	:	414-793-5108
Fax Number	:

Authorized Official
Title or Position	:	OWNER/ DIRECTOR
Name	:	DINAH L WILLIAMS
Credential	:
Telephone Number	:	414-793-5108

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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