Inspire Change Therapeutic Services Pllc

NPI #1164217873 in Ponderay, Idaho

Provider Information

NPI Number: 1164217873
Entity Type: Organization
Organization Name: Inspire Change Therapeutic Services Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Apr 12, 2025
Last Updated: Dec 17, 2025

Practice Location

Address: 30410 HIGHWAY 200 # 200R-3
City: Ponderay
State: Idaho
ZIP Code: 83852-9601
Phone: (208) 290-5285

Authorized Official

Name: MICHAELLA A HAMMERSBERG, LCSW
Title: OWNER
Phone: (208) 610-4861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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