NPI:
1861147654
Provider Name:
ASPIRE WEIGHT LOSS SOLUTIONS, LLC
Doing Business As: ASPIRE WEIGHT LOSS SOLUTIONS, LLC
Classification:
Clinic/Center - 261QM2500X
Entity Type:
Organization
Specialization: Medical Specialty
Address:
700 KEMPER AVE
BLACKSTONE, VA
ZIP 23824
Phone:
(757) 310-3925
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ASPIRE WEIGHT LOSS SOLUTIONS, LLC is a medical specialty clinic center in Blackstone, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). ASPIRE WEIGHT LOSS SOLUTIONS, LLC NPI is 1861147654. The provider is registered as an organization entity type.
The provider Is Doing Business As Aspire Weight Loss Solutions, Llc.
The provider's business location address is:
700 KEMPER AVE
BLACKSTONE, VA
ZIP 23824-061
Phone: (757) 310-3925
Fax: (949) 863-5677
The provider's authorized official is Gabrielle Tiarra Qahhar .
The authorized official title is Chief Executive Officer and has the following contact phone number (757) 310-3925.
The enumeration date for this NPI number is 2/20/2022 and was last updated on 12/22/2022.