# INSPIRATION PSYCHIATRY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003591801
- **Authorized official:** JEONG MI PAK (OWNER)
- **Authorized official phone:** (702) 721-3541

## Contact information

- **Practice address:** 66 CEDAR ST STE 204, NEWINGTON, CT 06111-2655
- **Practice address phone:** (866) 333-9758
- **Practice address fax:** (866) 299-1960
- **Mailing address:** 66 CEDAR ST STE 204, NEWINGTON, CT 06111-2655
- **Mailing address phone:** (866) 333-9758
- **Mailing address fax:** (866) 299-1960

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 06/19/2023
- **Last updated:** 11/03/2023
