Provider Demographics
NPI:1083289391
Name:INSIGHT 180 COUNSELING SERVICES
Entity Type:Organization
Organization Name:INSIGHT 180 COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/THERAPIST/EXECUTIVE DIRE
Authorized Official - Prefix:MR
Authorized Official - First Name:OSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CELESTIN
Authorized Official - Suffix:JR
Authorized Official - Credentials:MS
Authorized Official - Phone:561-571-5486
Mailing Address - Street 1:8837 SW 11TH ST
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-6225
Mailing Address - Country:US
Mailing Address - Phone:561-571-5486
Mailing Address - Fax:
Practice Address - Street 1:7000 WEST PALMETTO BLVD SUITE 210
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433
Practice Address - Country:US
Practice Address - Phone:561-571-5486
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty