Healthcare Provider Details

I. General information

NPI: 1164701355
Provider Name (Legal Business Name): INSIGHT COUNSELING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2011
Last Update Date: 08/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

380 SHERWOOD DR
YARDLEY PA
19067-3331
US

IV. Provider business mailing address

380 SHERWOOD DR
YARDLEY PA
19067-3331
US

V. Phone/Fax

Practice location:
  • Phone: 267-987-4444
  • Fax:
Mailing address:
  • Phone: 267-987-4444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberPC000242
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MS. LISA A CLEAVER
Title or Position: OWNER/PRESIDENT
Credential: M.S., L.P.C., N.C.C.
Phone: 267-987-4444