# INSPIRED WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Angela S. Jackson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528644713
- **Authorized official:** ANGELA JACKSON LISW-CP (OWNER)
- **Authorized official phone:** (803) 542-4152

## Contact information

- **Practice address:** 7511 SAINT ANDREWS RD STE 4, IRMO, SC 29063-2894
- **Practice address phone:** (803) 575-0579
- **Practice address fax:** (803) 830-3873
- **Mailing address:** 501 EVERTON DR, CHAPIN, SC 29036-7124
- **Mailing address phone:** (803) 542-4152

## Taxonomy

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

## Other

- **Enumeration date:** 03/19/2021
- **Last updated:** 03/24/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | SW1739 | — | SC |