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General NPI Number Information
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NPI Number | 1982411070
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Entity Type | Organization
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Legal Business Name | INSIGHT COUNSELING GROUP LLC
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Dates
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Enumeration Date | 12/12/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 24500 CENTER RIDGE RD STE 345
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City | WESTLAKE
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State | OH
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Zip | 44145-5604
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Country | US
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Telephone | 216-600-8488
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Fax |
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Provider Business Mailing Address
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Address Line | 24500 CENTER RIDGE RD STE 345
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City | WESTLAKE
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State | OH
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Zip | 44145-5604
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Country | US
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Telephone | 440-787-9819
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | MELISSA WHEELER
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Credential | LISW-S
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Telephone | 440-787-9819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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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 |
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License Number State |
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