Provider Demographics
NPI:1467716886
Name:INSIGHTFUL COUNSELING SERVICES, INC.
Entity Type:Organization
Organization Name:INSIGHTFUL COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TALANA
Authorized Official - Middle Name:SIEVERT
Authorized Official - Last Name:KERSEY M.S. LMHC
Authorized Official - Suffix:
Authorized Official - Credentials:MS LMHC
Authorized Official - Phone:352-591-4348
Mailing Address - Street 1:1103 SW 2ND AVE
Mailing Address - Street 2:CEDAR HEALTHCARE
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601
Mailing Address - Country:US
Mailing Address - Phone:352-378-9116
Mailing Address - Fax:352-378-9779
Practice Address - Street 1:1103 SW 2ND AVE.
Practice Address - Street 2:CEDAR HEALTHCARE
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601
Practice Address - Country:US
Practice Address - Phone:352-378-9116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:INSIGHTFUL COUNSELING SERVICES, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH5742101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty