Provider Demographics
NPI:1750127007
Name:INSIGHT COUNSELING & WELLNESS ARIZONA LLC
Entity type:Organization
Organization Name:INSIGHT COUNSELING & WELLNESS ARIZONA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROWELL
Authorized Official - Middle Name:V
Authorized Official - Last Name:LAINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-935-1464
Mailing Address - Street 1:12232 SEA VOYAGE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-4606
Mailing Address - Country:US
Mailing Address - Phone:602-935-1464
Mailing Address - Fax:808-376-1054
Practice Address - Street 1:19235 N CAVE CREEK RD STE 102
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-3025
Practice Address - Country:US
Practice Address - Phone:602-935-1464
Practice Address - Fax:808-376-1054
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:1 INSIGHT INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-06
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty