Healthcare Provider Details

I. General information

NPI: 1871722124
Provider Name (Legal Business Name): INSIGHTS INSTITUTE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2009
Last Update Date: 08/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2217 MATTHEWS TOWNSHIP PKWY
MATTHEWS NC
28105-4815
US

IV. Provider business mailing address

2429 BLUEBERRY RIDGE RD
MATTHEWS NC
28105-4167
US

V. Phone/Fax

Practice location:
  • Phone: 704-321-9164
  • Fax: 704-321-9164
Mailing address:
  • Phone: 704-321-9164
  • Fax: 704-321-9164

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. JOYCE M FLETCHER
Title or Position: OWNER
Credential:
Phone: 704-321-9164