Provider Demographics
NPI:1194558643
Name:EARNEST INSIGHTS THERAPY
Entity type:Organization
Organization Name:EARNEST INSIGHTS THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:SISSON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-558-3747
Mailing Address - Street 1:223 W COUGAR BLVD # 517
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-2546
Mailing Address - Country:US
Mailing Address - Phone:801-558-3747
Mailing Address - Fax:
Practice Address - Street 1:476 W 1640 S
Practice Address - Street 2:
Practice Address - City:OREM
Practice Address - State:UT
Practice Address - Zip Code:84058-7518
Practice Address - Country:US
Practice Address - Phone:801-558-3747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health