Provider Demographics
NPI:1750977682
Name:INSPIRING VISIONS COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:INSPIRING VISIONS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:RIVERA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:860-302-3985
Mailing Address - Street 1:272 SUNNYDALE AVE
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-0409
Mailing Address - Country:US
Mailing Address - Phone:860-302-3985
Mailing Address - Fax:
Practice Address - Street 1:272 SUNNYDALE AVE
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-0409
Practice Address - Country:US
Practice Address - Phone:860-302-3985
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-15
Last Update Date:2020-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health