Provider Demographics
NPI:1992130314
Name:INSPIRE PROFESSIONAL COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:INSPIRE PROFESSIONAL COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:KATHRYN
Authorized Official - Last Name:HOFFSTOT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:618-741-8543
Mailing Address - Street 1:969 GARDENVIEW OFFICE PKWY
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-5917
Mailing Address - Country:US
Mailing Address - Phone:618-741-8543
Mailing Address - Fax:618-307-9214
Practice Address - Street 1:969 GARDENVIEW OFFICE PKWY
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63141-5917
Practice Address - Country:US
Practice Address - Phone:618-741-8543
Practice Address - Fax:618-307-9214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-04
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008006632101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1417267170OtherCOUNSELOR