Provider Demographics
NPI:1043717440
Name:INSIGHT PSYCHOLOGICAL SERVICES PLLC
Entity Type:Organization
Organization Name:INSIGHT PSYCHOLOGICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:INGALLS
Authorized Official - Last Name:UMPHRIES
Authorized Official - Suffix:
Authorized Official - Credentials:LPE-I
Authorized Official - Phone:318-918-0221
Mailing Address - Street 1:4613 PARKWAY DR STE 7
Mailing Address - Street 2:
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854-1191
Mailing Address - Country:US
Mailing Address - Phone:903-884-5401
Mailing Address - Fax:
Practice Address - Street 1:4613 PARKWAY DR STE 7
Practice Address - Street 2:
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-1191
Practice Address - Country:US
Practice Address - Phone:903-884-5401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-11
Last Update Date:2018-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR13-42EI103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty