Provider Demographics
NPI:1538820600
Name:INSIGHT INVERSE COUNSELING LLC
Entity type:Organization
Organization Name:INSIGHT INVERSE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THERESE
Authorized Official - Middle Name:
Authorized Official - Last Name:ALEXANDER-SSEBAGALA
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:860-650-0053
Mailing Address - Street 1:21 PROVIDENCE CT
Mailing Address - Street 2:
Mailing Address - City:GROTON
Mailing Address - State:CT
Mailing Address - Zip Code:06340-4711
Mailing Address - Country:US
Mailing Address - Phone:860-650-0053
Mailing Address - Fax:508-433-1871
Practice Address - Street 1:554 LONG HILL RD STE 8
Practice Address - Street 2:
Practice Address - City:GROTON
Practice Address - State:CT
Practice Address - Zip Code:06340-4170
Practice Address - Country:US
Practice Address - Phone:860-650-0053
Practice Address - Fax:508-433-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-31
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty