Inspire Psychological Services LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

INSPIRE PSYCHOLOGICAL SERVICES LLC

Doing business as

Omar Flores Taveras

Practice address

110 Kellwood Dr Ste B
Perry, GA 31069-3263

Phone

(229) 200-6524

NPI assigned

Dec 30, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Omar Flores Taveras, PHDNPI 1548306806

Title

Therapist

Phone

(229) 200-6524

Specialties & licenses 1

Addresses

Other names 1

• Omar Flores Taveras Doing business as

Locations

Practitioners 1

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

• Omar Flores Taveras, LMFT

  • Marriage & Family Therapist
  • Perry, GA
  • NPI 1548306806
  NPD Authorized official

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609286400000",
    "number": "1669069175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 LAKESHORE DR",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310883913",
            "telephone_number": "229-200-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 KELLWOOD DR STE B",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693263",
            "telephone_number": "229-200-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRE PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-30",
        "last_updated": "2020-12-30",
        "certification_date": "2020-12-30",
        "status": "A",
        "authorized_official_last_name": "TAVERAS",
        "authorized_official_first_name": "OMAR",
        "authorized_official_middle_name": "FLORES",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "229-200-6524",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Omar Flores Taveras",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Howell, FNP-C
• Emily H Hulbert, M.A. CCC SLP
• Idsa, LLC
• Giana Uchenna Igwike, NP
• Independent Physical Therapy of Ga, LLC
• J. Mathis Dixon, OD, PC (Advanced Eyecare Center)
• Sashya Ylaine Jefferson, LPN
• Sari Jensen, DMD
• Jared Johnson
• Michael Caroline Johnson, LMSW

• Community/Behavioral Health Agency in Perry, GA
• Providers in Perry, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.