Healthcare Provider Details
I. General information
NPI: 1487350641
Provider Name (Legal Business Name): INSIGHT MATTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/31/2023
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
250 S MAIN ST
PAYETTE ID
83661-2853
US
IV. Provider business mailing address
PO BOX 458
PAYETTE ID
83661-0458
US
V. Phone/Fax
- Phone: 208-405-0020
- Fax: 208-739-4425
- Phone: 208-405-0020
- Fax: 208-739-4425
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BECKY
WOLERY
Title or Position: CEO
Credential: LCSW, PSYD
Phone: 208-739-1505