Provider Demographics
NPI:1740309657
Name:INSIGHT COUNSELORS, PA
Entity type:Organization
Organization Name:INSIGHT COUNSELORS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:CROW
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:813-915-1038
Mailing Address - Street 1:5701 MARINER ST #605
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3424
Mailing Address - Country:US
Mailing Address - Phone:813-915-1038
Mailing Address - Fax:888-217-7138
Practice Address - Street 1:200 S. HOOVER BLVD,
Practice Address - Street 2:SUITE 170
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609
Practice Address - Country:US
Practice Address - Phone:813-915-1038
Practice Address - Fax:888-218-7138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2013-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)