Inspired Life Behavioral Health & Counseling, NP, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

INSPIRED LIFE BEHAVIORAL HEALTH & COUNSELING, NP, LLC

Practice address

1485 Wassail LN
Punta Gorda, FL 33983-6028

Phone

(941) 310-1863

NPI assigned

May 2, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Michelle Lea Antanovich, PMHNPNPI 1487756458

Title

Owner

Phone

(941) 310-1863

Specialties & licenses 1

Addresses

Other names 1

• Inspired Life Behavioral Health & Counseling, NP, LLC Former legal business name

Practitioners 1

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

• Michelle Lea Antanovich, CRNP PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Punta Gorda, FL
  • NPI 1487756458
  NPD Authorized official

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

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1720835101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1485 WASSAIL LN",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339836028",
            "telephone_number": "941-310-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1485 WASSAIL LN",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339836028",
            "telephone_number": "941-310-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED LIFE BEHAVIORAL HEALTH & COUNSELING, NP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "ANTANOVICH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "LEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-310-1863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inspired Life Behavioral Health & Counseling, NP, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; 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.