Organization Name: | INSIGHTS COUNSELING LLC |
NPI Number: | 1043518079 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELIZABETH MAVRELIS (SOLE PROPRIETOR) |
Mailing Address: | 100 Shore Dr Portage |
State: | IN US |
Postal Code: | 463681060 |
Phone Number: | 2197301515 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2011 |
NPI Last Update Date: | 02/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | 28060371A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult 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 adults. |