Provider Demographics
NPI:1164826756
Name:INSPIRE BEYOND LLC
Entity type:Organization
Organization Name:INSPIRE BEYOND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/SOCIAL WORKER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:BERNARD
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:813-775-8987
Mailing Address - Street 1:100 SOUTH ASHLEY STREET
Mailing Address - Street 2:SUITE 600
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33602
Mailing Address - Country:US
Mailing Address - Phone:813-775-8987
Mailing Address - Fax:
Practice Address - Street 1:100 SOUTH ASHLEY STREET
Practice Address - Street 2:SUITE 600
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33602
Practice Address - Country:US
Practice Address - Phone:813-775-8987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-10
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW0000009903104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty