Provider Demographics
NPI:1124388905
Name:IN-SIGHT COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:IN-SIGHT COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:D
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:334-691-5061
Mailing Address - Street 1:380 PHILLIPS RD
Mailing Address - Street 2:
Mailing Address - City:COTTONWOOD
Mailing Address - State:AL
Mailing Address - Zip Code:36320-4298
Mailing Address - Country:US
Mailing Address - Phone:334-691-5061
Mailing Address - Fax:334-699-8748
Practice Address - Street 1:380 PHILLIPS RD
Practice Address - Street 2:
Practice Address - City:COTTONWOOD
Practice Address - State:AL
Practice Address - Zip Code:36320-4298
Practice Address - Country:US
Practice Address - Phone:334-691-5061
Practice Address - Fax:334-699-8748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-25
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.24899251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health