Provider Demographics
NPI:1316386220
Name:INSIGHT BEHAVIORAL WELLNESS SOLUTIONS
Entity Type:Organization
Organization Name:INSIGHT BEHAVIORAL WELLNESS SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:TABITHA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAYNES
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCAS, NCC
Authorized Official - Phone:919-816-5274
Mailing Address - Street 1:PO BOX 30851
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27622-0851
Mailing Address - Country:US
Mailing Address - Phone:919-816-5274
Mailing Address - Fax:
Practice Address - Street 1:4408 CROWFIELD DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-5336
Practice Address - Country:US
Practice Address - Phone:919-616-5274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health