INSPIRATIONS YOUTH ACADEMY LLC


Address: 757 South East 17th Street, Fort Lauderdale, FL 33316-2960
Phone: 8008688772

INSPIRATIONS YOUTH ACADEMY LLC (NPI# 1821595281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1821595281
Entity Type Organization
Organization Name INSPIRATIONS YOUTH ACADEMY LLC
Practice Address 757 South East 17th Street
Fort Lauderdale
FL 33316-2960
Practice Telephone 8008688772
Enumeration Date 2018-04-11
Last Update Date 2018-04-11
Authorized Official Name CHRIS WALSH (OWNER/PRESIDENT)
Authorized Official Telephone 9543764783
Authorized Official Credential LPN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 757 SOUTH EAST 17TH STREET
City FORT LAUDERDALE
State FL
Zip Code 33316-2960

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1124560370 Yulia Rybalka Pharmacist 217 Se 10th Street, Ft Lauderdale, FL 33316 2016-11-04
1730635376 Brian Alexander Reyes Specialist/Technologist 303 Se 3rd Ave, Ft Lauderdale, FL 33316 2016-09-01
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1609236850 Diane Nicole Shilling Nurse Practitioner 1001 South Andrews Avenue, Suite 100, Ft. Lauderdale, FL 33316 2016-03-01
1396113239 Victoria Rosado Adult Companion 150 Se 12th Street, 401(b), Fort Lauderdale, FL 33316 2015-09-09
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

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1225661473 The Center for Advanced Neurosciences Clinic/Center 13337 Sw 44th St, Davie, FL 33330-4713 2020-02-17
1528628856 Modern Reality Clinic/Center 200 Knuth Rd Ste 101, Boynton Beach, FL 33436-4635 2019-06-18
1801450515 Inspirational Care Counseling LLC Clinic/Center 12630 Bramfield Dr, Riverview, FL 33579-7774 2019-04-29
1942769567 Veronica Castro, Psy.d., Pa Clinic/Center 9380 Sunset Dr Ste B165, Miami, FL 33173-5456 2019-03-13
1780159061 Solutions Center for Personal Growth Clinic/Center 664 Se Monterey Rd, Stuart, FL 34994-4410 2018-10-12
1558867341 All Star Children's Foundation Clinic/Center 3308 17th St, Sarasota, FL 34235-8904 2018-04-02
1598268906 Risen Consultants LLC Clinic/Center 1470 Nw 107th Ave Unit19r, Sweetwater, FL 33172-2735 2018-03-12
1679080824 Heather M. Fewox-steen, Lmhc, LLC. Clinic/Center 3955 Riverside Ave Ste 2f, Jacksonville, FL 32205-3313 2018-01-09
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Competitor

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City FORT LAUDERDALE
Zip Code 33316

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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