Inspired 2 Change Life Integrated Therapy and Wellness Center, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

INSPIRED 2 CHANGE LIFE INTEGRATED THERAPY AND WELLNESS CENTER, PLLC

Practice address

3111 Lake Woodard Dr
Raleigh, NC 27604-3246

Phone

(919) 522-3877

NPI assigned

Apr 14, 2025

Organization subpart

No

Name

Ms. Anita Lynette Hagans, MSW, MSIHS, LCSWANPI 1194584318

Title

Owner/Therapist

Phone

(919) 522-3877

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita Lynette Hagans, LCSWA

  • Clinical Social Worker
  • Garner, NC
  • NPI 1194584318

  Clinical

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 14, 2025.

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1104611532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WOODS OF NORTH BEND DR APT D",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276093948",
            "telephone_number": "919-522-3877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 LAKE WOODARD DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276043246",
            "telephone_number": "919-522-3877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED 2 CHANGE LIFE INTEGRATED THERAPY AND WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "HAGANS",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "919-522-3877",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, MSIHS, LCSWA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Institute for Global Cause Inc
• Institute of Behavior Management

• All providers in Raleigh, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.