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NPI Code Detail

MEDICARE: INSIGHT COUNSELING AND WELLNESS LLC

MEDICARE: INSIGHT COUNSELING AND WELLNESS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255846952
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSIGHT COUNSELING AND WELLNESS LLC
Provider Business Mailing Address
First Line : 7547 MENTOR AVE STE 306
Second Line :
City : MENTOR
State : OH
Zip : 44060-5432
Country : US
Telephone Number : 440-701-6170
Fax Number : 440-527-8043
Provider Business Practice Location Address
First Line : 7547 MENTOR AVE STE 300
Second Line :
City : MENTOR
State : OH
Zip : 44060-5432
Country : US
Telephone Number : 440-701-6170
Fax Number : 440-527-8043
Authorized Official
Title or Position : OWNER, CLINICAL THERAPIST
Name : SHELLIE ROZIC
Credential : LISW-S
Telephone Number : 440-637-4915
Provider Enumeration Date : 12/05/2017
Last Update Date : 11/18/2024

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Directions to “INSIGHT COUNSELING AND WELLNESS LLC ” Practice Location

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