Provider Demographics
NPI:1215574751
Name:INSIGHT THERAPY LLC
Entity Type:Organization
Organization Name:INSIGHT THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:GROLEMUND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:814-245-8664
Mailing Address - Street 1:106 WEHLER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT MARYS
Mailing Address - State:PA
Mailing Address - Zip Code:15857-2138
Mailing Address - Country:US
Mailing Address - Phone:814-245-8664
Mailing Address - Fax:
Practice Address - Street 1:106 WEHLER RD
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:PA
Practice Address - Zip Code:15857-2138
Practice Address - Country:US
Practice Address - Phone:814-245-8664
Practice Address - Fax:814-245-8665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103727027-0004Medicaid
PA103727027-0003Medicaid