Organization
INSPYRED FRUITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONI WORSLEY (COO)
(602) 918-1114
Entity
Organization
Contact information
Practice address
5251 W CAMPBELL AVE STE 110-A, PHOENIX, AZ 85031-1715
(029) 181-1114
Mailing address
5335 W SWEET PEA TER, LAVEEN, AZ 85339-5430
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
04/27/2024
Last updated
04/27/2024
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