Organization
INSPIRED LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY ADELE JOHNSON M.A., QDDP (OWNER)
(757) 540-8710
Entity
Organization
Contact information
Practice address
1139 43RD ST, NEWPORT NEWS, VA 23607-2411
(757) 540-8710
(540) 782-2238
Mailing address
PO BOX 9654, HAMPTON, VA 23670-0654
(757) 540-8710
(757) 782-2238
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
11/25/2025
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