Healthcare Provider Details

I. General information

NPI: 1265921357
Provider Name (Legal Business Name): INNERSIGHT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2018
Last Update Date: 07/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 NORTHGATE SQ STE 200
GREENSBURG PA
15601
US

IV. Provider business mailing address

1421 ROLLING ACRES RD
LATROBE PA
15650-4714
US

V. Phone/Fax

Practice location:
  • Phone: 724-689-6118
  • Fax: 724-832-0839
Mailing address:
  • Phone: 724-689-6118
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: EMILY PITTMAN
Title or Position: OWNER OF INNERSIGHT LLC
Credential: LCSW
Phone: 724-689-6118