Healthcare Provider Details

I. General information

NPI: 1306721881
Provider Name (Legal Business Name): INSIGHTFUL SOULUTIONS LIFE COACH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 LAMBERT CT
MIDWAY GA
31320-4804
US

IV. Provider business mailing address

12 LAMBERT CT
MIDWAY GA
31320-4804
US

V. Phone/Fax

Practice location:
  • Phone: 912-604-1864
  • Fax:
Mailing address:
  • Phone: 912-604-1864
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNIE L FOSKEY
Title or Position: OWNER/ MASTER SOCIAL WORKER
Credential:
Phone: 912-604-1864