Healthcare Provider Details

I. General information

NPI: 1134846199
Provider Name (Legal Business Name): INSIGHT REHAB LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2022
Last Update Date: 10/20/2022
Certification Date: 10/20/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5210 AUTH RD SUITE 500
SUITLAND MD
20746
US

IV. Provider business mailing address

5210 AUTH RD SUITE 500
SUITLAND MD
20746
US

V. Phone/Fax

Practice location:
  • Phone: 301-423-0967
  • Fax: 240-619-4680
Mailing address:
  • Phone: 301-423-0967
  • Fax: 240-619-4680

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 Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: RACHELLE R MEADOWS
Title or Position: VP OF OPERATIONS
Credential:
Phone: 301-423-0967