| Inspire Change Therapeutic Services Pllc | |
|
30410 Highway 200 # 200r-3 Ponderay ID 83852-9601 | |
| (208) 290-5285 | |
| Not Available |
| Full Name | Inspire Change Therapeutic Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 30410 Highway 200 # 200r-3, Ponderay, Idaho |
| Authorized Official Name and Position | Michaella A Hammersberg (OWNER) |
| Authorized Official Contact | 2082905285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspire Change Therapeutic Services Pllc 217 Cedar St # 318 Sandpoint ID 83864-1410 Ph: (208) 290-5285 | Inspire Change Therapeutic Services Pllc 30410 Highway 200 # 200r-3 Ponderay ID 83852-9601 Ph: (208) 290-5285 |
| NPI Number | 1164217873 |
|---|---|
| Provider Enumeration Date | 04/12/2025 |
| Last Update Date | 04/12/2025 |
| Certification Date | 04/12/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164217873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Idaho Dept Of Health & Welfare Reg 1 Ahm Psr Sandpoint Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Larkspur St, Ponderay, ID 83852 Phone: 208-265-4535 Fax: 208-263-4198 | |
Jesstherapy Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30410 Highway 200 Ste 200b-3, Ponderay, ID 83852 Phone: 208-627-7918 | |
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