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General NPI Number Information
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NPI Number | 1528451218
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Entity Type | Organization
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Legal Business Name | INSIGHT PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 03/05/2015
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Provider Practice Location Address
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Address Line | 11 HOPE RD. SUITE 213
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City | STAFFORD
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State | VA
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Zip | 22554
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Country | US
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Telephone | 540-658-0888
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Fax | 540-658-0855
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Provider Business Mailing Address
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Address Line | 2124 JEFFERSON DAVIS HWY SUITE 102
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City | STAFFORD
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State | VA
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Zip | 22554
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Country | US
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Telephone | 540-658-0888
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Fax | 540-658-0855
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. LYNNE HEAD
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Credential | LPC-S, RN
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Telephone | 214-502-9081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 12707
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 224040
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 3536
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0701005909
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License Number State | VA
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