Provider Demographics
NPI:1306217864
Name:INSIGHT HEALTHCARE, PLLC
Entity Type:Organization
Organization Name:INSIGHT HEALTHCARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLOSKA
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW, ACSW, CAADC
Authorized Official - Phone:1989-975-8039
Mailing Address - Street 1:119 S HEISTERMAN ST
Mailing Address - Street 2:STE. 101
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-1719
Mailing Address - Country:US
Mailing Address - Phone:989-975-8039
Mailing Address - Fax:989-372-9864
Practice Address - Street 1:119 S HEISTERMAN ST
Practice Address - Street 2:STE. 101
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-1719
Practice Address - Country:US
Practice Address - Phone:989-975-8039
Practice Address - Fax:989-372-9864
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-09
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIC-01973101YA0400X
MI68010779861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty