Organization
INSPIRATION PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEONG MI PAK (OWNER)
(702) 721-3541
Entity
Organization
Contact information
Practice address
66 CEDAR ST STE 204, NEWINGTON, CT 06111-2655
(866) 333-9758
(866) 299-1960
Mailing address
66 CEDAR ST STE 204, NEWINGTON, CT 06111-2655
(866) 333-9758
(866) 299-1960
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174097331
INDIVIDUAL NPI
NV
Enumeration date
06/19/2023
Last updated
11/03/2023
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