Healthcare Provider Details
I. General information
NPI: 1427551084
Provider Name (Legal Business Name): NEW INSIGHTS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/09/2018
Last Update Date: 03/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
460 VALLEY BROOK RD STE 1
MC MURRAY PA
15317-3340
US
IV. Provider business mailing address
331 HOLLYDALE CIR
PITTSBURGH PA
15241-1702
US
V. Phone/Fax
- Phone: 417-760-0856
- Fax:
- Phone: 412-760-0856
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | PC006668 |
| License Number State | PA |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
REBECCA
HANNA
SEGERDAHL
Title or Position: LICENSED PROFESSIONAL COUNSELOR
Credential: LPC
Phone: 412-760-0856