Provider Demographics
NPI:1508575077
Name:INSIGHT THERAPY AND CONSULTING LLC
Entity Type:Organization
Organization Name:INSIGHT THERAPY AND CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAYUMI
Authorized Official - Middle Name:
Authorized Official - Last Name:KIMURA
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:603-930-2373
Mailing Address - Street 1:97 CENTRAL ST STE 403B
Mailing Address - Street 2:
Mailing Address - City:LOWELL
Mailing Address - State:MA
Mailing Address - Zip Code:01852-1917
Mailing Address - Country:US
Mailing Address - Phone:978-206-1161
Mailing Address - Fax:978-245-5200
Practice Address - Street 1:97 CENTRAL ST STE 403B
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1917
Practice Address - Country:US
Practice Address - Phone:978-206-1161
Practice Address - Fax:978-245-5200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)