Healthcare Provider Details

I. General information

NPI: 1114859790
Provider Name (Legal Business Name): INSIGHT COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 05/30/2026
Certification Date: 05/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

338 SQUARE RD
GLOVER VT
05839-9612
US

IV. Provider business mailing address

338 SQUARE RD
GLOVER VT
05839-9612
US

V. Phone/Fax

Practice location:
  • Phone: 802-535-0517
  • Fax:
Mailing address:
  • Phone: 802-535-0517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA GHANTOUS
Title or Position: OWNER
Credential: LCMHC
Phone: 802-535-0517