Provider Demographics
NPI:1467188011
Name:INSIGHT THERAPY SERVICES
Entity Type:Organization
Organization Name:INSIGHT THERAPY SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:JERMYN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:269-436-4721
Mailing Address - Street 1:5380 HOLIDAY TER STE 46
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-2128
Mailing Address - Country:US
Mailing Address - Phone:269-436-4721
Mailing Address - Fax:
Practice Address - Street 1:35577 44TH AVE
Practice Address - Street 2:
Practice Address - City:PAW PAW
Practice Address - State:MI
Practice Address - Zip Code:49079-9541
Practice Address - Country:US
Practice Address - Phone:269-436-4721
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty