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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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