Healthcare Provider Details
I. General information
NPI: 1639670953
Provider Name (Legal Business Name): INSIGHT SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/22/2018
Last Update Date: 06/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2121 ACADEMY CIR STE 203
COLORADO SPRINGS CO
80909
US
IV. Provider business mailing address
2121 ACADEMY CIR STE 203
COLORADO SPRINGS CO
80909-1600
US
V. Phone/Fax
- Phone: 719-447-0370
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOAN
MARIE
LEWIS
Title or Position: OWNER/CLINICAL DIRECTOR
Credential:
Phone: 719-447-0370