Inspiration Services for Children & Families LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

P011890 Issued in NC

Legal business name

INSPIRATION SERVICES FOR CHILDREN & FAMILIES LLC

Practice address

1101 Tyvola Rd Ofc 320
Charlotte, NC 28217-3515

Phone

(980) 292-1855

NPI assigned

Mar 1, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Adenia Perez Lopez, LCSWANPI 1992057301

Title

Social Worker

Phone

(980) 292-1855

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Adenia Perez Lopez, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1992057301
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519948800000",
    "number": "1396247755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8331 RIVERBIRCH DR APT 304",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282105994",
            "telephone_number": "917-518-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 TYVOLA RD OFC 320",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282173515",
            "telephone_number": "980-292-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRATION SERVICES FOR CHILDREN & FAMILIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-02",
        "status": "A",
        "authorized_official_last_name": "PEREZ LOPEZ",
        "authorized_official_first_name": "ADENIA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "980-292-1855",
        "authorized_official_credential": "LCSWA"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NC",
            "license": "P011890",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NC",
            "license": "P011890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adolescent and Children Mental Health Clinic/Center in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; 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.