Provider Demographics
NPI:1578922001
Name:INSPIRIT COUNSELING PC
Entity type:Organization
Organization Name:INSPIRIT COUNSELING PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:LIMHP
Authorized Official - Phone:605-890-2848
Mailing Address - Street 1:709 W 4TH ST
Mailing Address - Street 2:STE 2
Mailing Address - City:CHADRON
Mailing Address - State:NE
Mailing Address - Zip Code:69337-2450
Mailing Address - Country:US
Mailing Address - Phone:308-430-1944
Mailing Address - Fax:775-667-6079
Practice Address - Street 1:709 W 4TH ST
Practice Address - Street 2:STE 2
Practice Address - City:CHADRON
Practice Address - State:NE
Practice Address - Zip Code:69337
Practice Address - Country:US
Practice Address - Phone:308-430-1944
Practice Address - Fax:775-667-6079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-11
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE4597251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health