Healthcare Provider Details

I. General information

NPI: 1871957787
Provider Name (Legal Business Name): INSIGHT GUIDANCE GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2016
Last Update Date: 09/05/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1602 W PINHOOK RD STE 201
LAFAYETTE LA
70508-3735
US

IV. Provider business mailing address

1602 W PINHOOK RD STE 201
LAFAYETTE LA
70508-3735
US

V. Phone/Fax

Practice location:
  • Phone: 337-534-0770
  • Fax:
Mailing address:
  • Phone: 337-534-0770
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER MARIE RHYNES
Title or Position: OWNER/CEO
Credential:
Phone: 337-534-0770