Organization
INSPIRED WELLNESS, LLC
Active
Other names
Angela S. Jackson
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA JACKSON LISW-CP (OWNER)
(803) 542-4152
Entity
Organization
Contact information
Practice address
7511 SAINT ANDREWS RD STE 4, IRMO, SC 29063-2894
(803) 575-0579
(803) 830-3873
Mailing address
501 EVERTON DR, CHAPIN, SC 29036-7124
(803) 542-4152
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SW1739
—
SC
Enumeration date
03/19/2021
Last updated
03/24/2021
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