# INSPIRED TO GROW, LLC

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

## Provider details

- **NPI number:** 1134702095
- **Authorized official:** TIARA WATFORD (CEO)
- **Authorized official phone:** (252) 455-8710

## Contact information

- **Practice address:** 1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320-0218
- **Practice address phone:** (252) 455-8710
- **Mailing address:** 1545 CROSSWAYS BLVD STE 250, CHESAPEAKE, VA 23320-0218
- **Mailing address phone:** (252) 455-8710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 04/29/2021
- **Last updated:** 04/29/2021