Provider Demographics
NPI:1972336840
Name:INSPIRE WELLNESS CENTER LLC
Entity type:Organization
Organization Name:INSPIRE WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALEJANDRO
Authorized Official - Middle Name:
Authorized Official - Last Name:GULI MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-538-8114
Mailing Address - Street 1:11890 SW 8TH ST STE 514
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33184-1717
Mailing Address - Country:US
Mailing Address - Phone:786-538-8114
Mailing Address - Fax:786-957-2891
Practice Address - Street 1:11890 SW 8TH ST STE 514
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33184-1717
Practice Address - Country:US
Practice Address - Phone:786-538-8114
Practice Address - Fax:786-957-2891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-24
Last Update Date:2024-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management