Provider Demographics
NPI:1568911063
Name:INSIGHTS THERAPY AND RESOURCES
Entity Type:Organization
Organization Name:INSIGHTS THERAPY AND RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:C
Authorized Official - Last Name:RAY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:870-672-1448
Mailing Address - Street 1:124 S JACKSON
Mailing Address - Street 2:STE 412
Mailing Address - City:MAGNOLIA
Mailing Address - State:AR
Mailing Address - Zip Code:71753-3526
Mailing Address - Country:US
Mailing Address - Phone:870-901-3527
Mailing Address - Fax:870-901-3539
Practice Address - Street 1:124 S JACKSON
Practice Address - Street 2:STE 412
Practice Address - City:MAGNOLIA
Practice Address - State:AR
Practice Address - Zip Code:71753-3526
Practice Address - Country:US
Practice Address - Phone:870-901-3527
Practice Address - Fax:870-901-3539
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-25
Last Update Date:2016-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2036-C251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health