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NPI Code Detail

MEDICARE: INSIGHT PROFESSIONAL COUNSELING LLC

MEDICARE: INSIGHT PROFESSIONAL COUNSELING 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
1251S00000XCommunity/Behavioral Health Agency2007008532MO

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 : 1386034718
Entity Type Code : Organization
Provider Name (Legal Business Name) : INSIGHT PROFESSIONAL COUNSELING LLC
Provider Business Mailing Address
First Line : 4 ALMONT ACRES
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63124-1727
Country : US
Telephone Number : 314-267-4327
Fax Number :
Provider Business Practice Location Address
First Line : 408 JEFFERSON ST
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2824
Country : US
Telephone Number : 314-550-0830
Fax Number :
Authorized Official
Title or Position : LPC
Name : CELESTE R DAIBER
Credential :
Telephone Number : 314-267-4327
Provider Enumeration Date : 01/22/2015
Last Update Date : 01/22/2015

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Directions to “INSIGHT PROFESSIONAL COUNSELING LLC ” Practice Location

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