Healthcare Provider Details

I. General information

NPI: 1467719377
Provider Name (Legal Business Name): INSIGHTS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2012
Last Update Date: 04/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11605 ROSEMONT AVE NE
ALBUQUERQUE NM
87112-5644
US

IV. Provider business mailing address

11605 ROSEMONT AVE NE
ALBUQUERQUE NM
87112-5644
US

V. Phone/Fax

Practice location:
  • Phone: 505-379-3845
  • Fax:
Mailing address:
  • Phone: 505-379-3845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number99471
License Number StateNM

VIII. Authorized Official

Name: KEVIN PATTERSON
Title or Position: OWNER
Credential: LPCC
Phone: 505-379-3845