Healthcare Provider Details

I. General information

NPI: 1700931177
Provider Name (Legal Business Name): INSIGHT TREATMENT SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 03/16/2020
Certification Date: 03/16/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4920 NIAGARA RD STE 101
COLLEGE PARK MD
20740-1110
US

IV. Provider business mailing address

5210 AUTH RD STE 500
SUITLAND MD
20746-4354
US

V. Phone/Fax

Practice location:
  • Phone: 301-423-0967
  • Fax: 301-423-2750
Mailing address:
  • Phone: 301-423-0967
  • Fax: 301-909-1027

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number903188
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number903188
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number03013
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number10088
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberG12271
License Number StateMD
# 6
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: RACHELLE MEADOWS
Title or Position: OFFICE ADMINISTRATOR
Credential:
Phone: 240-573-1594