Healthcare Provider Details

I. General information

NPI: 1790370484
Provider Name (Legal Business Name): PRACTICAL INSIGHTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2021
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

991 US HIGHWAY 22 STE 200
BRIDGEWATER NJ
08807-2957
US

IV. Provider business mailing address

PO BOX 2211
FLEMINGTON NJ
08822-2211
US

V. Phone/Fax

Practice location:
  • Phone: 908-528-0979
  • Fax:
Mailing address:
  • Phone: 908-528-0979
  • Fax:

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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ERIN REYHAN
Title or Position: EXECUTIVE DIRECTOR
Credential: LCSW
Phone: 908-528-0979