Provider Demographics
NPI:1619433521
Name:INSIGHT COUNSELING SERVICES OF GREATER LANSING LLC
Entity Type:Organization
Organization Name:INSIGHT COUNSELING SERVICES OF GREATER LANSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DAVARN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:517-881-9867
Mailing Address - Street 1:311 HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:GRAND LEDGE
Mailing Address - State:MI
Mailing Address - Zip Code:48837-1577
Mailing Address - Country:US
Mailing Address - Phone:517-338-3090
Mailing Address - Fax:517-338-3090
Practice Address - Street 1:311 HARRISON ST
Practice Address - Street 2:
Practice Address - City:GRAND LEDGE
Practice Address - State:MI
Practice Address - Zip Code:48837-1577
Practice Address - Country:US
Practice Address - Phone:517-338-3090
Practice Address - Fax:571-338-3090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-15
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1134367097OtherNPI
1457818601OtherNPI
1265935779OtherNPI
1659061125OtherNPI
1669024014OtherNPI
1437652211OtherNPI
1275965931OtherNPI
1295422764OtherNPI
1871128074OtherNPI
1952818882OtherNPI
1104448380OtherNPI
1659623312OtherNPI
1811507940OtherNPI
1093373649OtherNPI
1487142709OtherNPI
1790094886OtherNPI
1487240073OtherNPI