Provider Demographics
NPI:1497477277
Name:CORE INSIGHTS COUNSELING LLC
Entity Type:Organization
Organization Name:CORE INSIGHTS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:307-751-1816
Mailing Address - Street 1:1910 STADIUM DR
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801-6727
Mailing Address - Country:US
Mailing Address - Phone:307-751-1816
Mailing Address - Fax:
Practice Address - Street 1:1949 SUGARLAND DR STE 211
Practice Address - Street 2:
Practice Address - City:SHERIDAN
Practice Address - State:WY
Practice Address - Zip Code:82801-5765
Practice Address - Country:US
Practice Address - Phone:307-429-2356
Practice Address - Fax:307-675-1276
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-16
Last Update Date:2022-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty