Provider Demographics
NPI:1588185672
Name:INSIGHT COUNSELING & EVALUATION CENTER, PLLC
Entity Type:Organization
Organization Name:INSIGHT COUNSELING & EVALUATION CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SENIOR PSYCHOLOGICAL EXAMINER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BERRIER
Authorized Official - Suffix:
Authorized Official - Credentials:SPE/ CLINICAL PSY
Authorized Official - Phone:423-432-5218
Mailing Address - Street 1:7239 E BRAINERD RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3841
Mailing Address - Country:US
Mailing Address - Phone:423-432-5218
Mailing Address - Fax:
Practice Address - Street 1:7239 E BRAINERD RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3841
Practice Address - Country:US
Practice Address - Phone:423-432-5218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN11837101YM0800X, 102L00000X, 261QM0801X, 261QM0850X, 261QM0855X, 305R00000X, 405300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalystGroup - Single Specialty
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No305R00000XManaged Care OrganizationsPreferred Provider OrganizationGroup - Single Specialty
No405300000XOther Service ProvidersPrevention ProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ027855Medicaid