Provider Demographics
NPI:1568007888
Name:INSIGHT COUNSELING & CONSULTING, LLC
Entity Type:Organization
Organization Name:INSIGHT COUNSELING & CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENNY
Authorized Official - Middle Name:R
Authorized Official - Last Name:BOUKNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:803-380-8388
Mailing Address - Street 1:1905 SUNSET BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:WEST COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29169-5955
Mailing Address - Country:US
Mailing Address - Phone:803-380-8388
Mailing Address - Fax:803-896-5557
Practice Address - Street 1:1905 SUNSET BLVD STE C
Practice Address - Street 2:
Practice Address - City:WEST COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29169-5955
Practice Address - Country:US
Practice Address - Phone:803-281-6950
Practice Address - Fax:803-896-5557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-11
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1699286898OtherNPI
SCSW1670Medicaid