Provider Demographics
NPI:1942982137
Name:INSIGHT PROFESSIONAL COUNSELING SERVICES
Entity Type:Organization
Organization Name:INSIGHT PROFESSIONAL COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WELLINGTON
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LPC-S
Authorized Official - Phone:504-813-1283
Mailing Address - Street 1:3308 TULANE AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70119-7164
Mailing Address - Country:US
Mailing Address - Phone:504-813-1283
Mailing Address - Fax:504-354-2090
Practice Address - Street 1:3308 TULANE AVE STE 304
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-7164
Practice Address - Country:US
Practice Address - Phone:504-813-1283
Practice Address - Fax:504-354-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-07
Last Update Date:2023-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty