Provider Demographics
NPI:1356689236
Name:INSIGHT CLINICAL SERVICES, LLC
Entity Type:Organization
Organization Name:INSIGHT CLINICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAZIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HASAN
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCSW
Authorized Official - Phone:973-553-0799
Mailing Address - Street 1:11 MELANIE LN
Mailing Address - Street 2:SUITE 11A
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-1100
Mailing Address - Country:US
Mailing Address - Phone:973-553-0799
Mailing Address - Fax:
Practice Address - Street 1:11 MELANIE LN
Practice Address - Street 2:SUITE 11A
Practice Address - City:EAST HANOVER
Practice Address - State:NJ
Practice Address - Zip Code:07936-1100
Practice Address - Country:US
Practice Address - Phone:973-553-0799
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-28
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health