Provider Demographics
NPI:1649797556
Name:INSPIRE INTELLECT, LLC
Entity type:Organization
Organization Name:INSPIRE INTELLECT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:REGINALD
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:225-603-9311
Mailing Address - Street 1:61197 HIGHWAY 1046
Mailing Address - Street 2:
Mailing Address - City:AMITE
Mailing Address - State:LA
Mailing Address - Zip Code:70422-4423
Mailing Address - Country:US
Mailing Address - Phone:225-603-9311
Mailing Address - Fax:
Practice Address - Street 1:61197 HIGHWAY 1046
Practice Address - Street 2:
Practice Address - City:AMITE
Practice Address - State:LA
Practice Address - Zip Code:70422-4423
Practice Address - Country:US
Practice Address - Phone:225-603-9311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health