Provider Demographics
NPI:1285312777
Name:INSIGHT COUNSELING AND WELLNESS GROUP LLC
Entity type:Organization
Organization Name:INSIGHT COUNSELING AND WELLNESS GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROWELL
Authorized Official - Middle Name:V
Authorized Official - Last Name:LAINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-530-1320
Mailing Address - Street 1:12232 SEA VOYAGE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89138-4606
Mailing Address - Country:US
Mailing Address - Phone:702-340-9188
Mailing Address - Fax:
Practice Address - Street 1:200 N VINEYARD BLVD STE A325
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-3950
Practice Address - Country:US
Practice Address - Phone:702-350-1980
Practice Address - Fax:808-376-1054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-06
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty