Provider Demographics
NPI:1841731965
Name:INSIGHT BHEAVIORAL HEALTH SPECIALISTS
Entity type:Organization
Organization Name:INSIGHT BHEAVIORAL HEALTH SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:MRS
Authorized Official - First Name:OLGA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARRETO
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:407-343-6006
Mailing Address - Street 1:PO BOX 421163
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34742-1163
Mailing Address - Country:US
Mailing Address - Phone:407-343-6006
Mailing Address - Fax:407-343-8289
Practice Address - Street 1:618 N MAIN ST
Practice Address - Street 2:1320 N MAIN ST SUITE B
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34744-5262
Practice Address - Country:US
Practice Address - Phone:407-343-6006
Practice Address - Fax:407-343-8289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-09
Last Update Date:2017-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL015681500Medicaid
FL014171800Medicaid