Provider Demographics
NPI:1437446416
Name:INSIGHT COUNSELING OF TECUMSEH
Entity Type:Organization
Organization Name:INSIGHT COUNSELING OF TECUMSEH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:SNYDER-BARKER
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:517-424-5438
Mailing Address - Street 1:106 S MAUMEE ST
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:MI
Mailing Address - Zip Code:49286-2004
Mailing Address - Country:US
Mailing Address - Phone:517-424-5438
Mailing Address - Fax:517-424-0918
Practice Address - Street 1:106 S MAUMEE ST
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:MI
Practice Address - Zip Code:49286-2004
Practice Address - Country:US
Practice Address - Phone:517-424-5438
Practice Address - Fax:517-424-0918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI681011060104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty