Provider Demographics
NPI:1558142547
Name:INSIGHT THERAPY AND RELATIONAL WELLNESS LLC
Entity Type:Organization
Organization Name:INSIGHT THERAPY AND RELATIONAL WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:SKIDMORE
Authorized Official - Suffix:
Authorized Official - Credentials:LSCSW
Authorized Official - Phone:785-205-6588
Mailing Address - Street 1:3649 SW BURLINGAME RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66611-2155
Mailing Address - Country:US
Mailing Address - Phone:785-205-6588
Mailing Address - Fax:785-266-4533
Practice Address - Street 1:3649 SW BURLINGAME RD STE 100
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66611-2155
Practice Address - Country:US
Practice Address - Phone:785-205-6588
Practice Address - Fax:785-266-4533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty