Provider Demographics
NPI:1346747144
Name:IN SIGHT HEALING AND COUNSELING LLC
Entity Type:Organization
Organization Name:IN SIGHT HEALING AND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:BRYANNE
Authorized Official - Middle Name:EVELYN
Authorized Official - Last Name:MCMANN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:774-263-1655
Mailing Address - Street 1:45 PICKENS ST
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02347-1903
Mailing Address - Country:US
Mailing Address - Phone:774-263-1655
Mailing Address - Fax:
Practice Address - Street 1:350 BEDFORD ST STE 1
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MA
Practice Address - Zip Code:02347-2128
Practice Address - Country:US
Practice Address - Phone:601-255-7483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2020-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA120818261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)