Healthcare Provider Details

I. General information

NPI: 1285312777
Provider Name (Legal Business Name): INSIGHT COUNSELING AND WELLNESS GROUP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2023
Last Update Date: 09/02/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 N VINEYARD BLVD STE A325
HONOLULU HI
96817-3950
US

IV. Provider business mailing address

12232 SEA VOYAGE AVE
LAS VEGAS NV
89138-4606
US

V. Phone/Fax

Practice location:
  • Phone: 702-350-1980
  • Fax: 808-376-1054
Mailing address:
  • Phone: 702-340-9188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: ROWELL V. LAINO
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 702-530-1320