# ASPIRE WEIGHT LOSS SOLUTIONS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Aspire Weight Loss Solutions, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861147654
- **Authorized official:** MISS GABRIELLE TIARRA QAHHAR NP-C (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (757) 310-3925

## Contact information

- **Practice address:** 700 KEMPER AVE, BLACKSTONE, VA 23824-3061
- **Practice address phone:** (757) 310-3925
- **Practice address fax:** (949) 863-5677
- **Mailing address:** 700 KEMPER AVE, BLACKSTONE, VA 23824-3061
- **Mailing address phone:** (757) 310-3925
- **Mailing address fax:** (949) 863-5677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/20/2022
- **Last updated:** 12/22/2022