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Organization

INSPIRE MENTAL HEALTH SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NAYIVE ELLIS LSCSW (SOCIAL WORKER)
(620) 952-1738
Entity
Organization

Contact information

Practice address
613 W. NORTH AVE, JOHNSON, KS 67855-637
(620) 952-1738
(620) 492-3316
Mailing address
PO BOX 637, JOHNSON, KS 67855-0637
(620) 952-1738
(620) 492-3316

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4766
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201119110B
KS
Enumeration date
09/06/2018
Last updated
09/06/2018
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