Provider Demographics
NPI:1790428498
Name:INSITE INTEGRATIVE SERVICES, LLC
Entity Type:Organization
Organization Name:INSITE INTEGRATIVE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:M
Authorized Official - Last Name:GERATY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-804-1934
Mailing Address - Street 1:114 OAKWAY RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-4339
Mailing Address - Country:US
Mailing Address - Phone:410-804-1934
Mailing Address - Fax:
Practice Address - Street 1:2 OAKWAY RD
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-4236
Practice Address - Country:US
Practice Address - Phone:410-804-1934
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-19
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty