Healthcare Provider Details

I. General information

NPI: 1174366363
Provider Name (Legal Business Name): INSIGHT PSYCHIATRY & COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2024
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 CORSAIR LN STE 405
MIDDLEBURG FL
32068-8564
US

IV. Provider business mailing address

1650 CORSAIR LN STE 405
MIDDLEBURG FL
32068-8564
US

V. Phone/Fax

Practice location:
  • Phone: 904-274-1423
  • Fax: 904-339-9813
Mailing address:
  • Phone: 904-274-1423
  • Fax: 904-339-9813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY WILSON
Title or Position: OWNER
Credential: PMHNP
Phone: 904-274-1423