Organization
INSPIRE CHANGE THERAPEUTIC SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELLA A HAMMERSBERG LCSW (OWNER)
(208) 610-4861
Entity
Organization
Contact information
Practice address
30410 HIGHWAY 200 # 200R-3, PONDERAY, ID 83852-9601
(208) 290-5285
Mailing address
30410 HIGHWAY 200 STE 200R-3, PONDERAY, ID 83852-9601
(208) 610-4861
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/12/2025
Last updated
12/17/2025
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