Provider Demographics
NPI:1578899142
Name:INSIGHT COUNSELING ASSOCIATES, LLC
Entity Type:Organization
Organization Name:INSIGHT COUNSELING ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:MONROE
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:III
Authorized Official - Credentials:PHD, LPC
Authorized Official - Phone:417-885-1364
Mailing Address - Street 1:1736 E SUNSHINE ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1343
Mailing Address - Country:US
Mailing Address - Phone:417-885-1363
Mailing Address - Fax:417-885-3875
Practice Address - Street 1:1736 E SUNSHINE ST
Practice Address - Street 2:SUITE 401
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1343
Practice Address - Country:US
Practice Address - Phone:417-885-1363
Practice Address - Fax:417-885-3875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-02
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOCS001970251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health