NPI | 1720835101 |
---|---|
Former Legal Business Name | INSPIRED LIFE BEHAVIORAL HEALTH & COUNSELING, NP, LLC |
Entity Type | Organization |
Authorized Contact | MICHELLE LEA ANTANOVICH Owner 941-310-1863 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
Enumeration Date | 2024-05-02 |
Last Update Date | 2024-05-02 |