Provider Demographics
NPI:1124509344
Name:INSPIRE 2BE YOU LLC
Entity type:Organization
Organization Name:INSPIRE 2BE YOU LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO/BUSINESS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KERWIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-578-5382
Mailing Address - Street 1:530 POINT SPGS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5644
Mailing Address - Country:US
Mailing Address - Phone:402-578-5382
Mailing Address - Fax:
Practice Address - Street 1:3740 COLONY DR STE 122
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78230-2290
Practice Address - Country:US
Practice Address - Phone:210-725-8702
Practice Address - Fax:210-519-2752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-25
Last Update Date:2018-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)