Provider Demographics
NPI:1790079580
Name:INSIGHT BEHAVIORAL HEALTH, LLC
Entity Type:Organization
Organization Name:INSIGHT BEHAVIORAL HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEIANN
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:HAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:517-914-2608
Mailing Address - Street 1:2913 OAK HILL ST
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85650-5120
Mailing Address - Country:US
Mailing Address - Phone:520-220-9110
Mailing Address - Fax:520-378-0999
Practice Address - Street 1:2913 OAK HILL ST
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85650-5120
Practice Address - Country:US
Practice Address - Phone:520-220-9110
Practice Address - Fax:520-378-0999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-08
Last Update Date:2011-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health