Healthcare Provider Details

I. General information

NPI: 1083312896
Provider Name (Legal Business Name): INSIGHT THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2023
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 WOODLAKE DR STE 100
OKEMOS MI
48864-5910
US

IV. Provider business mailing address

2405 WOODLAKE DR STE 100
OKEMOS MI
48864-5910
US

V. Phone/Fax

Practice location:
  • Phone: 517-449-2106
  • Fax:
Mailing address:
  • Phone: 517-449-2106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name: DEENA I AGREE
Title or Position: OWNER OPERATOR
Credential:
Phone: 517-449-2106