Provider Demographics
NPI:1831683028
Name:INSIGHT BEHAVIORAL HEALTH LLC
Entity type:Organization
Organization Name:INSIGHT BEHAVIORAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SHANDY
Authorized Official - Middle Name:CHANCE
Authorized Official - Last Name:MELSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCPC, LCADC-S
Authorized Official - Phone:702-670-1665
Mailing Address - Street 1:2662 RAINBOW RIVER DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89142-3639
Mailing Address - Country:US
Mailing Address - Phone:702-670-1665
Mailing Address - Fax:
Practice Address - Street 1:2662 RAINBOW RIVER DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89142-3639
Practice Address - Country:US
Practice Address - Phone:702-670-1665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-20
Last Update Date:2018-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health