Provider Demographics
NPI:1740900976
Name:INSIGHTFUL COUNSELING, LLC
Entity type:Organization
Organization Name:INSIGHTFUL COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:DAWN
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW, QMHP
Authorized Official - Phone:541-525-0942
Mailing Address - Street 1:3253 PHEASANT BLVD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-7569
Mailing Address - Country:US
Mailing Address - Phone:541-510-1085
Mailing Address - Fax:541-255-0590
Practice Address - Street 1:317 GOODPASTURE ISLAND RD STE D
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-9724
Practice Address - Country:US
Practice Address - Phone:541-525-0942
Practice Address - Fax:541-255-0590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-29
Last Update Date:2022-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty