Provider Demographics
NPI:1073110631
Name:BE INSIGHTFUL
Entity Type:Organization
Organization Name:BE INSIGHTFUL
Other - Org Name:BE INSIGHTFUL COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/LPC
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:262-764-2459
Mailing Address - Street 1:2901 35TH ST LOWR SUITEB
Mailing Address - Street 2:
Mailing Address - City:KENOSHA
Mailing Address - State:WI
Mailing Address - Zip Code:53140-5117
Mailing Address - Country:US
Mailing Address - Phone:262-764-2459
Mailing Address - Fax:
Practice Address - Street 1:2901 35TH ST LOWR SUITEB
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53140-5117
Practice Address - Country:US
Practice Address - Phone:262-764-2459
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-07
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental HealthGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health