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General NPI Number Information
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NPI Number | 1205701380
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Entity Type | Organization
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Legal Business Name | INSIGHT THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 6650 RIVERS AVE STE 100
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-4809
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Country | US
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Telephone | 773-308-5030
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Fax |
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Provider Business Mailing Address
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Address Line | 140 GRAND CYPRESS DR APT 147
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City | ST JOHNS
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State | FL
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Zip | 32259-1969
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGING MEMBER
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Name | JASON ZAGARO
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Credential |
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Telephone | 773-308-5030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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