Provider Demographics
NPI:1114405206
Name:INSIGHT THERAPY OF TEXAS
Entity Type:Organization
Organization Name:INSIGHT THERAPY OF TEXAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:
Authorized Official - Last Name:RENNEKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:903-952-8737
Mailing Address - Street 1:909 ESE LOOP323 STE 635
Mailing Address - Street 2:
Mailing Address - City:TYLER
Mailing Address - State:TX
Mailing Address - Zip Code:75701-0430
Mailing Address - Country:US
Mailing Address - Phone:903-952-8737
Mailing Address - Fax:903-787-5048
Practice Address - Street 1:909 ESE LOOP323 STE 635
Practice Address - Street 2:
Practice Address - City:TYLER
Practice Address - State:TX
Practice Address - Zip Code:75701-0430
Practice Address - Country:US
Practice Address - Phone:903-952-8737
Practice Address - Fax:903-787-5048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-01
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty