| Inspire Mental Health Services Llc | |
|
613 W. North Ave Johnson KS 67855-637 | |
| (620) 952-1738 | |
| (620) 492-3316 |
| Full Name | Inspire Mental Health Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 613 W. North Ave, Johnson, Kansas |
| Authorized Official Name and Position | Nayive Ellis (SOCIAL WORKER) |
| Authorized Official Contact | 6209521738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Inspire Mental Health Services Llc Po Box 637 Johnson KS 67855-0637 Ph: (620) 952-1738 | Inspire Mental Health Services Llc 613 W. North Ave Johnson KS 67855-637 Ph: (620) 952-1738 |
| NPI Number | 1770065716 |
|---|---|
| Provider Enumeration Date | 09/06/2018 |
| Last Update Date | 09/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770065716 | NPI | - | NPPES |
| 201119110B | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4766 (Kansas) | Primary |