Provider Demographics
NPI:1316182645
Name:INSPIRED HEALING LLC
Entity type:Organization
Organization Name:INSPIRED HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:SOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LISAC
Authorized Official - Phone:520-584-0343
Mailing Address - Street 1:5350 E BROADWAY BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-3721
Mailing Address - Country:US
Mailing Address - Phone:520-584-0343
Mailing Address - Fax:
Practice Address - Street 1:5350 E BROADWAY BLVD
Practice Address - Street 2:SUITE 108
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-3721
Practice Address - Country:US
Practice Address - Phone:520-584-0343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-16
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLISAC 1357101YA0400X
AZLPC 10503101YP2500X
111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty