Provider Demographics
NPI:1063287068
Name:INSPIRE WELLNESS LLC
Entity type:Organization
Organization Name:INSPIRE WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELSEY
Authorized Official - Middle Name:L
Authorized Official - Last Name:REDING
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:618-651-0535
Mailing Address - Street 1:2568 BECKER RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND
Mailing Address - State:IL
Mailing Address - Zip Code:62249-3038
Mailing Address - Country:US
Mailing Address - Phone:618-920-7094
Mailing Address - Fax:
Practice Address - Street 1:110 WOODCREST DR
Practice Address - Street 2:
Practice Address - City:HIGHLAND
Practice Address - State:IL
Practice Address - Zip Code:62249-1255
Practice Address - Country:US
Practice Address - Phone:618-651-0535
Practice Address - Fax:949-703-7873
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care