Provider Demographics
NPI:1194854802
Name:INSIGHT COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:INSIGHT COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:E
Authorized Official - Last Name:BERTELL
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:410-580-2045
Mailing Address - Street 1:1777 REISTERSTOWN RD STE 395
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-6318
Mailing Address - Country:US
Mailing Address - Phone:410-580-2045
Mailing Address - Fax:410-356-9112
Practice Address - Street 1:1777 REISTERSTOWN RD STE 395
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-6318
Practice Address - Country:US
Practice Address - Phone:410-580-2045
Practice Address - Fax:410-356-9112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD036441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty