Provider Demographics
NPI:1992171813
Name:ASPIRE BEHAVIORAL HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:ASPIRE BEHAVIORAL HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF MEDICAL BILLING
Authorized Official - Prefix:MRS
Authorized Official - First Name:LIZ
Authorized Official - Middle Name:A
Authorized Official - Last Name:SHEPHERD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-215-8777
Mailing Address - Street 1:1170 SW MISSION AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-6160
Mailing Address - Country:US
Mailing Address - Phone:785-215-8777
Mailing Address - Fax:785-290-1065
Practice Address - Street 1:1170 SW MISSION AVE
Practice Address - Street 2:SUITE B
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604-6160
Practice Address - Country:US
Practice Address - Phone:785-215-8777
Practice Address - Fax:785-290-1065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS45427363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty