# INSPIRE MENTAL HEALTH SERVICES LLC

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

## Provider details

- **NPI number:** 1770065716
- **Authorized official:** NAYIVE ELLIS LSCSW (SOCIAL WORKER)
- **Authorized official phone:** (620) 952-1738

## Contact information

- **Practice address:** 613 W. NORTH AVE, JOHNSON, KS 67855-637
- **Practice address phone:** (620) 952-1738
- **Practice address fax:** (620) 492-3316
- **Mailing address:** PO BOX 637, JOHNSON, KS 67855-0637
- **Mailing address phone:** (620) 952-1738
- **Mailing address fax:** (620) 492-3316

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 4766 | KS | Yes |

## Other

- **Enumeration date:** 09/06/2018
- **Last updated:** 09/06/2018