Healthcare Provider Details

I. General information

NPI: 1598693947
Provider Name (Legal Business Name): INSIGHT BRIDGE COUNSELING CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4847 S PICADILLY CT
AURORA CO
80015-2576
US

IV. Provider business mailing address

4847 S PICADILLY CT
AURORA CO
80015-2576
US

V. Phone/Fax

Practice location:
  • Phone: 682-800-1536
  • Fax:
Mailing address:
  • Phone: 682-800-1536
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANAIS C RINCON
Title or Position: PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 786-608-5730