Provider Demographics
NPI:1972358828
Name:INTERNAL INSIGHTS THERAPY PLLC
Entity Type:Organization
Organization Name:INTERNAL INSIGHTS THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TED
Authorized Official - Middle Name:MENGPA
Authorized Official - Last Name:THAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:918-935-4484
Mailing Address - Street 1:18385 BABCOCK RD APT 424
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78255-2355
Mailing Address - Country:US
Mailing Address - Phone:918-935-4484
Mailing Address - Fax:
Practice Address - Street 1:18385 BABCOCK RD APT 424
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78255-2355
Practice Address - Country:US
Practice Address - Phone:918-935-4484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health