Organization
INSPIRED GROWTH THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY LYNN LEMAIRE PHD (OWNER)
(773) 234-2428
Entity
Organization
Contact information
Practice address
4043 N RAVENSWOOD AVE STE 309-6, CHICAGO, IL 60613-1155
(773) 234-2428
Mailing address
1831 W WARNER AVE APT 2, CHICAGO, IL 60613-1862
(574) 514-2347
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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