Provider Demographics
NPI:1073168795
Name:INSIGHT WELLNESS, LLC
Entity Type:Organization
Organization Name:INSIGHT WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:MS
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-550-4231
Mailing Address - Street 1:1325 N RIVER ST STE 206
Mailing Address - Street 2:
Mailing Address - City:PLAINS
Mailing Address - State:PA
Mailing Address - Zip Code:18702-1836
Mailing Address - Country:US
Mailing Address - Phone:570-550-4231
Mailing Address - Fax:
Practice Address - Street 1:1325 N RIVER ST STE 206
Practice Address - Street 2:
Practice Address - City:PLAINS
Practice Address - State:PA
Practice Address - Zip Code:18702-1836
Practice Address - Country:US
Practice Address - Phone:570-550-4231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-08
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty