Provider Demographics
NPI:1548147614
Name:INSPIRE PSYCHIATRY AND WELLNESS CORP
Entity type:Organization
Organization Name:INSPIRE PSYCHIATRY AND WELLNESS CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THALIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-325-0043
Mailing Address - Street 1:3104 W WATERS AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33614-2876
Mailing Address - Country:US
Mailing Address - Phone:813-325-0043
Mailing Address - Fax:
Practice Address - Street 1:3104 W WATERS AVE STE 101
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33614-2876
Practice Address - Country:US
Practice Address - Phone:813-325-0043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-19
Last Update Date:2025-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty