Healthcare Provider Details
I. General information
NPI: 1639073679
Provider Name (Legal Business Name): INSIGHT HEALTH CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2055 E SOUTHERN AVE STE B
TEMPE AZ
85282-7507
US
IV. Provider business mailing address
4539 N 22ND ST STE N
PHOENIX AZ
85016-4639
US
V. Phone/Fax
- Phone: 928-554-2550
- Fax: 949-543-2787
- Phone: 928-554-2550
- Fax: 949-543-2787
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0801X |
| Taxonomy | Mental Health Clinic/Center (Including Community Mental Health Center) |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QP2300X |
| Taxonomy | Primary Care Clinic/Center |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
RICHARD
FLOWERS
MUHAMMAD
Title or Position: CEO
Credential:
Phone: 928-554-2550