Provider Demographics
NPI:1104704493
Name:INSPIRE PSYCHIATRY & SLEEP LLC
Entity type:Organization
Organization Name:INSPIRE PSYCHIATRY & SLEEP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OBIOFUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-508-3583
Mailing Address - Street 1:107 TOWNE PARK DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30044-4664
Mailing Address - Country:US
Mailing Address - Phone:678-508-3583
Mailing Address - Fax:
Practice Address - Street 1:107 TOWNE PARK DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-4664
Practice Address - Country:US
Practice Address - Phone:678-508-3583
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty